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Fatemazahera Momin

Physician Assistant in Atlanta, GA. Individual provider (NPI-1).

NPI number1104721844
StatusActive
Last updated in NPPESOct 23, 2026

Details

NPI
1104721844
Entity type
Individual (NPI-1)
Name
Fatemazahera Momin
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 12, 2026
Certification date
Oct 23, 2026
Last updated
Oct 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

2600 Century Pkwy Ne
Atlanta, GA 30345-3125

Phone 470-322-1200

Mailing address

2600 Century Pkwy Ne
Atlanta, GA 30345-3125

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