Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marium Mustafa, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1881256824

Marium Mustafa, MD is an Internal Medicine in Waycross, Georgia. Qualified in 2015, 11 years ago. Practices with Hospital Physician Services - Southeast Professional Corporation, a 824-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Pennsylvania.

Years since qualifying
11
Licensed in
GA, PA
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1900 Tebeau St
Waycross, GA 31501-6357
Phone: (267) 570-7526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2601 Holme Ave, Philadelphia, PA 19152-2007 — (267) 570-7526

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 90105 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MT219263 (PA)

Record details

NPI number1881256824
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2019
Last updated in NPPESMay 11, 2022
Certification dateMay 11, 2022
Mailing address2601 Holme Ave, Philadelphia, PA 19152-2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Hospital Physician Services - Southeast Professional Corporation — 824 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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