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Individual

DR. ADAM ABEDEL ELLAH FAWAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
615 MICHAEL ST NE STE 205, ATLANTA, GA 30322-1047
(404) 712-8286
(404) 712-2974
Mailing address
615 MICHAEL ST NE STE 205, ATLANTA, GA 30322-1047
(404) 712-8286
(404) 712-2974

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/06/2020
Last updated
06/06/2023
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