MALI KHAMISSI SOBI

AUSTELL, GA
NPI1831622984
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  82852)
Enumeration Date2017-04-05
Last Update Date2020-10-13
Business Address
MALI KHAMISSI SOBI
4787 AUSTELL RD
AUSTELL, GA 30106-2001
Phone number: 770-875-6870
Mailing Address
MALI KHAMISSI SOBI
1268 RIDGECREST LN SE APT/SUITE
SMYRNA, GA 30080-2664
Phone number: 770-875-6870
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