Mariam Ibrahim
Mariam Ibrahim is a Student in an Organized Health Care Education/Training Program in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2024.
- Licensed in
- GA
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
2614 E Madison DrAtlanta, GA 30360-2027
Phone: (770) 906-0780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DN123616 (GA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1336988195 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 22, 2024 |
| Last updated in NPPES | October 10, 2024 |
| Certification date | October 10, 2024 |
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