Individual ProviderGhalia Al AzmehInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1439 Jesse Jewell Pkwy NE Ste 202, Gainesville, GA 30501-3806(770) 219-0023(770) 219-8420PECOS EnrollmentBased on the most recent information from CMS, provider Ghalia Al Azmeh is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1386148583Provider TypeIndividualFull NameAl Azmeh, GhaliaTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/21/2018Last Updated8/19/2022Contact InformationPractice LocationPractice Address1439 Jesse Jewell Pkwy NE Ste 202, Gainesville, GA 30501-3806Phone(770) 219-0023FaxUnlisted FaxMailing LocationMailing AddressPO Box 742616, Atlanta, GA 30374-2616Phone(770) 219-8420FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense89862GeorgiaCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicense89862Georgia