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NPI Code Detail

MEDICARE: DARLENE MUHAMMAD

MEDICARE:   DARLENE  MUHAMMAD
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
1172V00000XCommunity Health Worker
2175T00000XPeer Specialist
3171M00000XCase Manager/Care Coordinator
4106S00000XBehavior Technician

General Provider Information

NPI Number : 1508573833
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARLENE MUHAMMAD
Provider Business Mailing Address
First Line : 5956 SHERWOOD PL
Second Line :
City : ELLENWOOD
State : GA
Zip : 30294-4089
Country : US
Telephone Number : 404-551-8612
Fax Number :
Provider Business Practice Location Address
First Line : 2470 WINDY HILL RD SUITE 300
Second Line :
City : MARIETTA
State : GA
Zip : 30067-8430
Country : US
Telephone Number : 770-933-5328
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2022
Last Update Date : 11/07/2022

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Directions to “ DARLENE MUHAMMAD ” Practice Location

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