Issa, Muta M.
Issa, Muta M. is an sole proprietor health care provider with primary practice located at 1670 Clairmont Rd Avamc / Urology (112), Decatur GA 30033-4004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Issa, Muta M. can be contacted via phone (404) 728-4129.Contact Information
Primary practice address
1670 Clairmont Rd Avamc / Urology (112)
Decatur GA 30033-4004
Phone: (404) 728-4129
Fax: (404) 329-2201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 42619 | Georgia |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 042619 | Georgia |
Profile Details
| NPI number | 1669406757 |
|---|---|
| LBN Legal business name | Issa, Muta M. |
| Credentials | MD, MBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2006 |
| Last updated | May 10th, 2022 - 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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