Abraham, Mary
Abraham, Mary is an individual health care provider with primary practice located at 350 Winn Way , Decatur GA 30030-2106. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Abraham, Mary can be contacted via phone (404) 508-1177.Contact Information
Primary practice address
350 Winn Way
Decatur GA 30030-2106
Phone: (404) 508-1177
Fax: (404) 508-9640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 056399 | Georgia |
Profile Details
| NPI number | 1285644526 |
|---|---|
| LBN Legal business name | Abraham, Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Jul 23rd, 2007 - about 18 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 | 1285644526 | NPPES |
| Georgia | Other | 335852 | WELLCARE |
| Georgia | Other | 335854 | WELLCARE |
| Georgia | Other | 2947741 | WELLCARE |
| Georgia | Other | 335853 | WELLCARE |
| Georgia | Other | 52704327 | WELLCARE |
| Georgia | Other | 10045386 | WELLCARE |
| Georgia | MEDICAID | 236258795A | WELLCARE |
| Georgia | MEDICAID | 236258795C | WELLCARE |
| Georgia | Other | 7673845 | WELLCARE |
| Georgia | MEDICAID | 236258795B | WELLCARE |
| Georgia | MEDICAID | 236258795D | WELLCARE |
| Georgia | Other | 2625722 | WELLCARE |
| Georgia | Other | 335588 | WELLCARE |
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