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Individual Provider

IZZELDIN ABDALLA, MD

NPI 1760731962 Active Internal Medicine
Quick Facts
NPI Number
1760731962
Type
Individual (NPI-1)
Credential
MD
Status
Active
Enumeration Date
2012-09-04
Last Updated (NPPES)
2025-03-19

Primary Specialty / Taxonomy

TaxonomyInternal Medicine
Taxonomy Code207R00000X
License74880 GA

Other Taxonomies

  • Hospitalist — License 74880

Practice Address

1255 HIGHWAY 54 W
FAYETTEVILLE, GA 302144526

Phone: 770-719-5630

Mailing Address

PO BOX 742616
ATLANTA, GA 303742616

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.

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