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NPI Code Detail

MEDICARE: SHAMUWEL ADAM BIN ABRAHAM LMT, NMT

MEDICARE:   SHAMUWEL ADAM BIN ABRAHAM  LMT, NMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1226300000XKinesiotherapistMT015677GA
2171400000XHealth & Wellness CoachMT015677GA
3374K00000XReligious Nonmedical PractitionerMT015677GA
4225700000XMassage TherapistMT015677GA

General Provider Information

NPI Number : 1134051758
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAMUWEL ADAM BIN ABRAHAM LMT, NMT
Provider Business Mailing Address
First Line : 1035 SCALES RD
Second Line : APT 2301
City : SUWANEE
State : GA
Zip : 30024-1923
Country : US
Telephone Number : 706-324-8147
Fax Number :
Provider Business Practice Location Address
First Line : 3370 SUGARLOAF PKWY STE G6
Second Line :
City : LAWRENCEVILLE
State : GA
Zip : 30044-5486
Country : US
Telephone Number : 678-404-7492
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2026
Last Update Date : 05/29/2026

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Directions to “ SHAMUWEL ADAM BIN ABRAHAM LMT, NMT” Practice Location

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