Fred Musah
Driver in Mcdonough, GA. Individual provider (NPI-1).
NPI number1063108355
StatusActive
Last updated in NPPESApr 11, 2023
Details
- NPI
- 1063108355
- Entity type
- Individual (NPI-1)
- Name
- Fred Musah
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2023
- Certification date
- Apr 11, 2023
- Last updated
- Apr 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | – | – | Yes |
| 374U00000X | Home Health Aide | – | – | |
| 376J00000X | Homemaker | – | – |
Practice location
2015 Pennsylvania AveMcdonough, GA 30253-9120
Phone 678-467-3148
Mailing address
2015 Pennsylvania AveMcdonough, GA 30253-9120
Phone 678-467-3148
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