Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MOALLIM MOHAMED
ActiveHome Health Aide · CLARKSTON, GA
Registration Details
- NPI Number
- 1891523833
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 22, 2024 (1.7491909147857 yrs)
- Last Updated
- Jul 22, 2024
- Licenses
-
RN323743 (GA)PHCP013263 (GA)
Practice Information
- Address
-
116 RIDGE CREEK DRCLARKSTON, GA, 300212000Browse GA providers · Browse ZIP 30021
- Phone
- 6786650570
- Primary Specialty
-
Home Health Aide
374U00000X
- Additional Specialty
- Home Health Aide
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.