Individual ProviderEsraa F DhabaanFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address259 Jonesboro Rd, Mcdonough, GA 30253-3769(770) 957-8666(678) 284-6300PECOS EnrollmentBased on the most recent information from CMS, provider Esraa F Dhabaan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:02 PM.Profile DetailsProvider ID1437470549Provider TypeIndividualFull NameDhabaan, Esraa FTitleDr.CredentialM.DGenderFemaleSole ProprietorYesEnumeration Date6/13/2010Last Updated3/16/2015Contact InformationPractice LocationPractice Address259 Jonesboro Rd, Mcdonough, GA 30253-3769Phone(770) 957-8666Fax(770) 957-0375Mailing LocationMailing Address290 Country Club Dr, Suite220, Stockbridge, GA 30281-9069Phone(678) 284-6300Fax(678) 284-6336Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense070368GeorgiaCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense070368GeorgiaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer