Suleiman, Moyosore M.
Suleiman, Moyosore M. is an individual health care provider with primary practice located at 1045 Southcrest Dr Ste 200 , Stockbridge GA 30281-6113. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Suleiman, Moyosore M. can be contacted via phone (678) 289-0549.Contact Information
Primary practice address
1045 Southcrest Dr Ste 200
Stockbridge GA 30281-6113
Phone: (678) 289-0549
Fax: (678) 289-8756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036122623 | Illinois |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 4873 | Wisconsin |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 063204 | Georgia |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 063204 | Georgia |
Profile Details
| NPI number | 1770719650 |
|---|---|
| LBN Legal business name | Suleiman, Moyosore M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2009 |
| Last updated | Feb 3rd, 2026 - about 9 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770719650 | NPPES |
| Georgia | MEDICAID | 385795321P | |
| Georgia | MEDICAID | 385795321O | |
| Georgia | Other | G07436A |
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