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
Fax: (912) 877-2332
Website:

Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750571956 NPPES
Georgia Other G00233E MEDICARE
Georgia MEDICAID 003199810E MEDICARE

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