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Individual

RUWAYDAH HASAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1777 NORTHEAST EXPY NE, BROOKHAVEN, GA 30329-2480
(404) 785-5437
Mailing address
1777 NORTHEAST EXPY NE, BROOKHAVEN, GA 30329-2480

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
95713
GA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
95713
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/27/2018
Last updated
12/28/2023
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