Individual
IMAN A ABUKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 PEACHTREE ST NE STE 1275, ATLANTA, GA 30308-2240
(704) 776-3578
Mailing address
550 PEACHTREE ST NE STE 1275, ATLANTA, GA 30308-2240
(404) 872-3121
(404) 872-3119
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN298677
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003241994
—
GA
Enumeration date
11/06/2020
Last updated
11/18/2020
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