Doctor Name: | SUAAD ISMAIL MAMI |
NPI Number: | 1497976252 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.D. |
License Number: | LD002978 |
Business Practice Address: | 915 Gordon Avenue Thomasville, GA - 31792 |
Business Phone Number: | 2292282000 |
Business Fax Number: | |
Mailing Address: | 920 Cairo Rd, THOMASVILLE |
State: | GA |
Postal Code: | 317924255 |
Phone Number: | 2292288800 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 05/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LD002978 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |