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1669406757
MUTA M. ISSA
DECATUR, GA
NPI
1669406757
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: GA 042619)
Additional Taxonomies
208800000X Urology
(Licence: GA 42619)
Enumeration Date
2006-07-11
Last Update Date
2022-05-10
Business Address
Dr. MUTA M. ISSA MD, MBA
1670 CLAIRMONT RD AVAMC / UROLOGY (112)
DECATUR, GA 30033-4004
Phone number: 404-728-4129
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Mailing Address
Dr. MUTA M. ISSA MD, MBA
1670 CLAIRMONTH ROAD, NE AVAMC / UROLOGY (112)
DECATUR, GA 30033
Phone number: 404-728-4129
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