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NPI Code Detail

MEDICARE: RAMOU JALLOH

MEDICARE: RAMOU JALLOH
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1538013099
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAMOU JALLOH
Provider Business Mailing Address
First Line : 385 PLANTATION RIDGE CT
Second Line :
City : LOGANVILLE
State : GA
Zip : 30052-3690
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1691 MERIWEATHER DR STE 105
Second Line :
City : WATKINSVILLE
State : GA
Zip : 30677-7787
Country : US
Telephone Number : 706-883-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2026
Last Update Date : 02/23/2026

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