Organization
MCDONOUGH ADULT & PEDIATRIC MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSHARAF MOMIN M.D. (PRESIDENT)
(404) 783-1767
Entity
Organization
Contact information
Practice address
130 EAGLE SPRING CT STE A, STOCKBRIDGE, GA 30281
(678) 759-2278
(678) 782-3260
Mailing address
130 EAGLE SPRING CT STE A, STOCKBRIDGE, GA 30281-7252
(678) 759-2278
(678) 782-3260
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
055831
GA
Other
Enumeration date
10/12/2011
Last updated
10/30/2019
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