Individual
MUHAMMAD OMAIR AHSAN ATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1075 JESSE JEWELL PKWY NE STE A, GAINESVILLE, GA 30501-3814
(770) 219-8720
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8720
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
S9844
TX
2084N0400X
Neurology Physician
95923
GA
2084P0800X
Psychiatry Physician
Primary
95923
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2019
Last updated
03/14/2025
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