Latif, Mariam Labib
Latif, Mariam Labib is an individual health care provider with primary practice located at 1865 Lockeway Dr Ste 603 , Alpharetta GA 30004-5938. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Latif, Mariam Labib can be contacted via phone (770) 752-8440.Contact Information
Primary practice address
1865 Lockeway Dr Ste 603
Alpharetta GA 30004-5938
Phone: (770) 752-8440
Fax: (770) 752-8990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 057127 | Georgia |
Profile Details
| NPI number | 1265409007 |
|---|---|
| LBN Legal business name | Latif, Mariam Labib |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Oct 2nd, 2012 - about 13 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 | 1265409007 | NPPES |
| Other | 1609816123 | GEORGIA CLINIC, PC GROUP NPI # | |
| MEDICAID | 471097851C | GEORGIA CLINIC, PC GROUP NPI # | |
| MEDICAID | 471097851B | GEORGIA CLINIC, PC GROUP NPI # |
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