Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARIAM NEMATALLA ANTONIOS, D.O.
ActiveMARIAM NEMATALLA ANTONIOS, D.O. is a Family Medicine healthcare provider located in LAWRENCEVILLE, Georgia. NPI 1164885901 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LAWRENCEVILLE, GA
Registration Details
- NPI Number
- 1164885901
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 30, 2016 (10.349399855997 yrs)
- Last Updated
- Sep 22, 2020
- Licenses
-
00000 (GA)86461 (GA)
Practice Information
- Address
-
665 DULUTH HWY STE 501LAWRENCEVILLE, GA, 300468709Browse GA providers · Browse ZIP 30046
- Phone
- 6783120400
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LAWRENCEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| DR. BETH ANN SULLIVAN | DO | 1669476388 |
| STEVEN M CELESTIN | M.D. | 1770576639 |
| DR. DANIEL REIF DAUGHERTY | MD | 1962493502 |
| IRANDATHY RODRIGO | M.D. | 1922067875 |
| DR. DAVID W KUNZ | MD | 1952363194 |
| DR. RAJA RAM | MD | 1144279027 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.