Individual provider · Type 1 NPI

Mahmoud Tasslak

Registered Nurse · Atlanta, GA

NPI number 1790682409 Active

Practice location

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3050

Mailing address

5567 Clover Rise Ln
Norcross, GA 30093-4246

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X327020 (GA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1790682409

Mahmoud Tasslak's National Provider Identifier is 1790682409, issued on Oct 26, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Atlanta, GA. The record was last updated on Oct 26, 2026.