Doctor Name: | ANGELA LOUIE MUHAMMAD |
NPI Number: | 1689622516 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 052291 |
Business Practice Address: | 55 Re Jennings Ave Se Arlington, GA - 398138722 |
Business Phone Number: | 2297252147 |
Business Fax Number: | 2297252199 |
Mailing Address: | P O Box R, ARLINGTON |
State: | GA |
Postal Code: | 39813 |
Phone Number: | 2297254251 |
Fax Number: | 2297252200 |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 03/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 052291 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |