Healthcare Provider Details

I. General information

NPI: 1144030909
Provider Name (Legal Business Name): SOWA HEALTH TEAM LC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2025
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 CLIMBING IVY CT
FORTSON GA
31808-1127
US

IV. Provider business mailing address

8000 CLIMBING IVY CT
FORTSON GA
31808-1127
US

V. Phone/Fax

Practice location:
  • Phone: 240-825-8736
  • Fax: 240-593-5805
Mailing address:
  • Phone: 240-825-8736
  • Fax: 240-593-5805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MUHAMMAD-ABBAS CONTEH
Title or Position: OWNER
Credential: MD
Phone: 240-825-8736