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Mary Jane B Kassam, MD
General Practice Physician in Conyers, Georgia
NPI 1306844675

Mary Jane B Kassam is a General Practice Physician based in Conyers, GA. Mary Jane B Kassam practices in Conyers, GA and has the professional credentials of MD. The NPI Number for Mary Jane B Kassam is 1306844675 and holds a License No. 033610 (Georgia).

The current practice location address for Mary Jane B Kassam is 2020 Honey Creek Pkwy Se, Conyers, GA and can be reached out via phone at 770-929-0813 and via fax at 770-922-8653.

Location: 2020 Honey Creek Pkwy Se, Conyers, GA, 30013-2974
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306844675
Provider Name
Mary Jane B Kassam
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2020 Honey Creek Pkwy Se, Conyers, GA, 30013-2974
Phone Number
770-929-0813
Fax Number
770-922-8653
Provider Enumeration Date
07/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00447323A 05 GA
institution
Provider Business Practice Location Address Details
Address
2020 Honey Creek Pkwy Se
City
Conyers
State
Georgia
Zip
30013-2974
Phone Number
770-929-0813
Fax Number
770-922-8653
person
Provider Business Mailing Address Details
Address
2020 Honey Creek Pkwy Se
City
Conyers
State
Georgia
Zip
30013-2974
Phone Number
770-929-0813
Fax Number
770-922-8653
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
033610 (Georgia)
Definition
Definition to come...
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