Fatma Aldihri

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

NPI 1689476335 · NPPES record last updated Mar 25, 2025

Key facts

NPI
1689476335
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
833 Campbell Hill St NW Ste 250
Marietta, GA 30060-1162
Phone
(470) 956-2020
Fax
(770) 999-2785
NPI assigned
Mar 25, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250730003880 GA Order and Referring Only - Internal Medicine
Practitioner - Internal Medicine
5294242434

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

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

Addresses

Primary practice location

833 Campbell Hill St NW Ste 250
Marietta, GA 30060-1162

Mailing address

677 Church St NE Lowr Level
Marietta, GA 30060-1101

Other providers in Marietta, GA

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

Sources for this page

Verify at the official NPI Registry.