Family Medicine
MARIAM ANTONIOS D.O.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1164885901 · enumerated 2016-03-30 · record updated 2020-09-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: MARIAM NEMATALLA
Addresses and phones
- Practice location 665 DULUTH HWY STE 501, LAWRENCEVILLE, GA, 30046-8709 (678) 312-0400 Google Maps Apple Maps OpenStreetMap
- Mailing address 665 DULUTH HWY STE 501, LAWRENCEVILLE, GA, 30046-8709 (678) 312-0400 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · License 00000 GA
- Family Medicine 207Q00000X · Primary · License 86461 GA
In this directory
Locations and evidence
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Practice location
LAWRENCEVILLE, GA, 300468709
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.