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QADRIYYAH TAHEERAH ALALIM NP
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1497361414
Individual Registrant: QADRIYYAH TAHEERAH ALALIM NP
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
504 COLLEGE DR ALBANY, GA 31705-2717 US
Tel: 229-500-2329 Fax: 229-500-4891
Tel: 229-500-2329 Fax: 229-500-4891
Contact information for business:
PO BOX 156 PARROTT, GA 39877-0156 US
Tel: 678-879-9249 Fax: --
Tel: 678-879-9249 Fax: --
Registration Information:
NPI: 1497361414
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | GA | RN163976 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
