Abou-Mediene, Sharifa M
Abou-Mediene, Sharifa M is an sole proprietor health care provider with primary practice located at 303 Fraser Dr , Hinesville GA 31313-3712. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Abou-Mediene, Sharifa M can be contacted via phone (912) 877-2227.Contact Information
Primary practice address
303 Fraser Dr
Hinesville GA 31313-3712
Phone: (912) 877-2227
Fax: (912) 877-2332
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301089798 | Michigan |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 78683 | Georgia |
Profile Details
| NPI number | 1750571956 |
|---|---|
| LBN Legal business name | Abou-Mediene, Sharifa M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2007 |
| Last updated | Sep 16th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750571956 | NPPES |
| Georgia | Other | G00233E | MEDICARE |
| Georgia | MEDICAID | 003199810E | MEDICARE |
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