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Dr. Takki Momin, MD
Clinical Laboratory Director (Non-physician) in Atlanta, Georgia
NPI 1871212563

Takki Momin is a Clinical Laboratory Director (Non-physician) based in Atlanta, GA and is specialized in Clinical Laboratory Director, Non-physician. Takki Momin practices in Atlanta, GA and has the professional credentials of MD. The NPI Number for Takki Momin is 1871212563 and holds a License No. 11D2261376 (Georgia).

The current practice location address for Takki Momin is 3069 Amwiler Rd Ste 1, Atlanta, GA and can be reached out via phone at 404-910-9116. You can also correspond with Takki Momin through the mailing address at 3069 AMWILER RD STE 1, ATLANTA, GA - 30360-2825 (mailing address contact number: 404-910-9116).

Location: 3069 Amwiler Rd Ste 1, Atlanta, GA, 30360-2825
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Provider Profile Details
NPI Number
1871212563
Provider Name
Takki Momin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3069 Amwiler Rd Ste 1, Atlanta, GA, 30360-2825
Phone Number
404-910-9116
Fax Number
Provider Enumeration Date
08/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3069 Amwiler Rd Ste 1
City
State
Zip
30360-2825
Phone Number
404-910-9116
Fax Number
person
Provider Business Mailing Address Details
Address
3069 Amwiler Rd Ste 1
City
State
Zip
30360-2825
Phone Number
404-910-9116
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
License No.
11D2261376 (Georgia)
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
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