SAMMUDEEN IBRAHIM

ATHENS, GA
NPI1881312049
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-08-15
Last Update Date2022-08-15
Business Address
SAMMUDEEN IBRAHIM MD
1270 PRINCE AVE
ATHENS, GA 30606-2762
Phone number: 706-475-7055
Mailing Address
SAMMUDEEN IBRAHIM MD
1270 PRINCE AVE STE 201
ATHENS, GA 30606-2789
Phone number: 706-475-7055
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