SearchGeorgia1223G0001X

Mariam Ibrahim

NPI 1336988195 · on the registry since 2024

Practice

Address
2614 E Madison Dr
Atlanta, GA 30360
Phone
(770) 906-0780

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
390200000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia