MARIETTA RHEUMATOLOGY ASSOCIATES P.C. NPI 1629002696

NPI Information

MARIETTA RHEUMATOLOGY ASSOCIATES, P.C. is a specialist in Marietta, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MARIETTA RHEUMATOLOGY ASSOCIATES, P.C. NPI is 1629002696. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

670 NORTH AVE NW
MARIETTA, GA
ZIP 30060-127
Phone: (770) 590-8328
Fax: (770) 590-8231

The provider's authorized official is Mohammed Y. Abubaker .
The authorized official title is President and has the following contact phone number (770) 590-8328.

The CLIA number assigned to this NPI record is 11D0715845 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 9/7/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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