Mustafa, Marium

Mustafa, Marium is an individual health care provider with primary practice located at 1900 Tebeau St , Waycross GA 31501-6357. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mustafa, Marium can be contacted via phone (267) 570-7526.

Contact Information

Primary practice address
1900 Tebeau St Waycross GA 31501-6357
Phone: (267) 570-7526
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X MT219263 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 90105 Georgia

Profile Details

NPI number 1881256824
LBN Legal business name Mustafa, Marium
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2019
Last updated May 11th, 2022 - about 4 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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