Aseel Abualnil, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Dalton, GA

NPI 1598516635 · NPPES record last updated Sep 27, 2024

Key facts

NPI
1598516635
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
16849 (GA)
Practice address
1432 Broadrick Drive
Dalton, GA 30720
Phone
(706) 226-8990
Fax
(706) 529-5317
NPI assigned
Mar 28, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16849GAMDStudent in an Organized Health Care Education/Training Program

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X 16849 GA Yes

Addresses

Primary practice location

1432 Broadrick Drive
Dalton, GA 30720

Mailing address

1200 Memorial Drive
Dalton, GA 30720-2529
Phone (706) 226-8996

Other providers in Dalton, GA

All providers in Dalton, GA · Student in an Organized Health Care Education/Training Program in Georgia

Sources for this page

Verify at the official NPI Registry.