Provider Demographics
NPI:1699793521
Name:DOSS, MAGED N (MD)
Entity type:Individual
Prefix:
First Name:MAGED
Middle Name:N
Last Name:DOSS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 CAMPBELL HILL ST NW STE 250
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1162
Mailing Address - Country:US
Mailing Address - Phone:470-956-2020
Mailing Address - Fax:470-956-2030
Practice Address - Street 1:833 CAMPBELL HILL ST NW STE 250
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060
Practice Address - Country:US
Practice Address - Phone:470-956-2020
Practice Address - Fax:470-956-2030
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA047735207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAH56013Medicare UPIN