Tark Ahmed Abou-Elmagd
Student in an Organized Health Care Education/Training Program in Fayetteville, NC. Individual provider (NPI-1).
NPI number1649966979
StatusActive
Last updated in NPPESApr 11, 2023
Details
- NPI
- 1649966979
- Entity type
- Individual (NPI-1)
- Name
- Tark Ahmed Abou-Elmagd
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 11, 2023
- Certification date
- Apr 1, 2023
- Last updated
- Apr 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1638 Owen Drive Fayetteville, Nc 28302Fayetteville, NC 28304
Phone 910-615-3960 · Fax 910-615-9907
Mailing address
1638 Owen Drive Fayetteville, Nc 28302Fayetteville, NC 28304
Phone 910-615-3960 · Fax 910-615-9907
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