Provider Demographics
NPI:1114736287
Name:ABDULMATEEN, SURAYYA
Entity type:Individual
Prefix:
First Name:SURAYYA
Middle Name:
Last Name:ABDULMATEEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5681 WINCHESTER PL
Mailing Address - Street 2:
Mailing Address - City:STONECREST
Mailing Address - State:GA
Mailing Address - Zip Code:30038-4084
Mailing Address - Country:US
Mailing Address - Phone:404-805-2444
Mailing Address - Fax:
Practice Address - Street 1:1800 JONESBORO RD SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30315-5314
Practice Address - Country:US
Practice Address - Phone:404-805-2444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach