Mohamed, Ali M

Mohamed, Ali M is an individual health care provider with primary practice located at 1459 Montreal Rd Ste 312, Tucker GA 30084-6900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mohamed, Ali M can be contacted via phone (770) 270-4060.

Contact Information

Primary practice address
1459 Montreal Rd Ste 312 Tucker GA 30084-6900
Phone: (770) 270-4060
Fax: (770) 270-4061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 046623 Georgia

Profile Details

NPI number 1154448967
LBN Legal business name Mohamed, Ali M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154448967 NPPES
Georgia MEDICAID 00815075B
Georgia Other 0007493308
Georgia Other 52667599

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