Provider Demographics
NPI:1649627357
Name:SALIM, SUMMAR TASNEEM (DO)
Entity type:Individual
Prefix:DR
First Name:SUMMAR
Middle Name:TASNEEM
Last Name:SALIM
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:4550 COBB PARKWAY NORTH NW STE 210B
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-4182
Mailing Address - Country:US
Mailing Address - Phone:470-267-1760
Mailing Address - Fax:470-986-7002
Practice Address - Street 1:4550 COBB PARKWAY NORTH NW STE 210B
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-4182
Practice Address - Country:US
Practice Address - Phone:470-267-1760
Practice Address - Fax:470-986-7002
Is Sole Proprietor?:No
Enumeration Date:2016-05-23
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA93464207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology