Momoh, Isata C

Momoh, Isata C is an individual health care provider with primary practice located at 2855 Adams Pointe Dr , Snellville GA 30078-2930. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Momoh, Isata C can be contacted via phone (770) 978-5032.

Contact Information

Primary practice address
2855 Adams Pointe Dr Snellville GA 30078-2930
Phone: (770) 978-5032
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN136010 Georgia

Profile Details

NPI number 1871703033
LBN Legal business name Momoh, Isata C
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Oct 24th, 2014 - about 11 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 1871703033 NPPES
Georgia MEDICAID 146007449A

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