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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 17 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 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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