Provider Demographics
NPI:1790354736
Name:ABDULLAH-ZAIMAH, SONDRA (CPM)
Entity Type:Individual
Prefix:
First Name:SONDRA
Middle Name:
Last Name:ABDULLAH-ZAIMAH
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3810 ADAMSVILLE DR SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-3709
Mailing Address - Country:US
Mailing Address - Phone:404-287-7440
Mailing Address - Fax:
Practice Address - Street 1:3810 ADAMSVILLE DR SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-3709
Practice Address - Country:US
Practice Address - Phone:404-287-7440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-23
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN95110002176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty