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Contact Information

MARY T ABDUL, RN-BC, MSN, FNP-BC
939 BOB ARNOLD BLVD STE A&F
LITHIA SPRINGS, GA30122-3258
 Phone: 770-769-1724
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARY T ABDUL · (Female)

NPI # 1780112789
Status Active
Credentials RN-BC, MSN, FNP-BC
Entity Individual
Enumeration date 06/02/2017
Last updated 10/30/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • GA License # APRN301836
  • NY License # F341113-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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