Alam, Anisa Maryam
Alam, Anisa Maryam is an individual health care provider with primary practice located at 2570 Blackmon Dr Ste 310 , Decatur GA 30033-6197. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Alam, Anisa Maryam can be contacted via phone (678) 203-3462.Contact Information
Primary practice address
2570 Blackmon Dr Ste 310
Decatur GA 30033-6197
Phone: (678) 203-3462
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN123230 | Georgia |
Profile Details
| NPI number | 1386429728 |
|---|---|
| LBN Legal business name | Alam, Anisa Maryam |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2023 |
| Last updated | Aug 25th, 2023 - about 2 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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