Mushairat Mamun, PA

NPI #1295423143 in Marietta, Georgia

Provider Information

NPI Number: 1295423143
Entity Type: Individual
Name: Mushairat Mamun, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Apr 28, 2023
Last Updated: Sep 18, 2025

Practice Location

Address: 1121 JOHNSON FERRY RD STE 450
City: Marietta
State: Georgia
ZIP Code: 30068-5433
Phone: (770) 694-6349

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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