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Dr. Sally Williams Iwamoto, MD
Student in an Organized Health Care Education/Training Program in Atlanta, Georgia
NPI 1285193300

Sally Williams Iwamoto is a Student in an Organized Health Care Education/Training Program based in Atlanta, GA. Sally Williams Iwamoto practices in Atlanta, GA and has the professional credentials of MD. The NPI Number for Sally Williams Iwamoto is 1285193300 and holds a License No. 96257 (Georgia).

The current practice location address for Sally Williams Iwamoto is 12 Executive Park Dr Ne, Atlanta, GA and can be reached out via phone at 404-778-7777.

Location: 12 Executive Park Dr Ne, Atlanta, GA, 30329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285193300
Provider Name
Sally Williams Iwamoto
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
12 Executive Park Dr Ne, Atlanta, GA, 30329
Phone Number
404-778-7777
Fax Number
Provider Enumeration Date
03/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12 Executive Park Dr Ne
City
Atlanta
State
Georgia
Zip
30329
Phone Number
404-778-7777
Fax Number
person
Provider Business Mailing Address Details
Address
12 Executive Park Dr Ne
City
Atlanta
State
Georgia
Zip
30329
Phone Number
404-778-7777
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
()
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
96257 (Georgia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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