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MBUOMDA NASAH LIMA PAAA

Nursing Yellow Pages

Austell, Georgia

Provider NPI: 1215990809

Provider Information:
 MBUOMDA NASAH LIMA PAAA


Practice Location:
3950 AUSTELL RD  AUSTELL, GA 30106 US
Tel: 770-732-3649  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367H00000XPhysician Assistants & Advanced Practice Nursing Providers
Anesthesiologist Assistant
GA004639

Other Provider Identifiers:

IssuerNumberStateType
205988194AGA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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