Individual provider · NPI-1
Dr. Eddie K. Abdalla, M.D.
Surgery, Surgical Oncology · Atlanta, GA
NPI number1235225889
StatusActive
Last updated in NPPESJul 24, 2025
Details
- NPI
- 1235225889
- Entity type
- Individual (NPI-1)
- Name
- Dr. Eddie K. Abdalla
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2006
- Certification date
- Jul 24, 2025
- Last updated
- Jul 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086X0206X | Surgery, Surgical Oncology | K7959 | TX | Yes |
| 2086X0206X | Surgery, Surgical Oncology | 076624 | GA |
Practice location
980 Johnson Ferry RdSuite 170
Atlanta, GA 30342-1626
Phone 404-300-2140 · Fax 404-300-2240
Mailing address
980 Johnson Ferry RdSuite 170
Atlanta, GA 30342-1626
Phone 404-300-2140 · Fax 404-300-2240
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