Healthcare Provider Details

I. General information

NPI: 1730765629
Provider Name (Legal Business Name): HANIFE SAGLAM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2021
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

795 POPLAR RD STE 110
NEWNAN GA
30265-2817
US

IV. Provider business mailing address

1367 STEWARTSTOWN RD APT V17
MORGANTOWN WV
26505-3092
US

V. Phone/Fax

Practice location:
  • Phone: 678-633-3500
  • Fax:
Mailing address:
  • Phone: 216-688-6102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number110765
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberV6095
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License Number110765
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: