Jama, Edil

Jama, Edil is an individual health care provider with primary practice located at 4547 Birch Ridge Trl , Stone Mountain GA 30083-5605. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Jama, Edil can be contacted via phone (404) 910-6174.

Contact Information

Primary practice address
4547 Birch Ridge Trl Stone Mountain GA 30083-5605
Phone: (404) 910-6174
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Georgia

Profile Details

NPI number 1609368422
LBN Legal business name Jama, Edil
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2018
Last updated Jun 16th, 2018 - about 7 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 1609368422 NPPES
Georgia MEDICAID 0032041897

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