Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 13414 | GA |
NPI | 1003486457 |
---|---|
Provider Name | Alaa Salah Hamadtalla Mohamed |
First Address | Doha, DOHA 00000 |
Second Address | Augusta, GA 30901-2680 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2021 |
Last Update Date | 29/06/2021 |