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General NPI Number Information
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NPI Number | 1225978430
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Entity Type | Organization
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Legal Business Name | RETINA INSTITUTE OF NORTH GEORGIA LLC
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 4757 NELSON BROGDON BLVD BUILDING 400 STE 102
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City | SUGAR HILL
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State | GA
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Zip | 30518
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Country | US
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Telephone | 724-777-6696
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Fax |
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Provider Business Mailing Address
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Address Line | 978 DENMEADE WALK SW # GA30064
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City | MARIETTA
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State | GA
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Zip | 30064-2975
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Country | US
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Telephone | 724-777-6696
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Fax |
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Authorized Official
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Title or Position | OWNER, PHYSICIAN
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Name | DR. KAREEM SIOUFI
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Credential | MD
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Telephone | 724-777-6696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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