Individual provider · NPI-1

Tala Abu-Shami, PA-C

Physician Assistant · Atlanta, GA

NPI number1235987983
StatusActive
Last updated in NPPESJul 31, 2024

Details

NPI
1235987983
Entity type
Individual (NPI-1)
Name
Tala Abu-Shami
Credential
PA-C
Sex
Female
Sole proprietor
Yes
Enumeration date
May 8, 2024
Certification date
May 8, 2024
Last updated
Jul 31, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant12320GAYes
363A00000X Physician AssistantPA17895TX

Practice location

2174 N Druid Hills Rd Ne Fl 1
Atlanta, GA 30329-3102

Phone 404-785-8787

Mailing address

2174 N Druid Hills Rd Ne Fl 1
Atlanta, GA 30329-3102

Phone 404-785-8787

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