Basic Information
| Provider Information | |||||||||
| NPI: | 1144735879 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SFE ADVANCED MEDICAL CONSULTING INC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | EL-AMIN ORTHOPAEDIC & SPORTS MEDICINE INSTITUTE | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1640 CONE FLOWER WAY | ||||||||
| Address2: | |||||||||
| City: | SUWANEE | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300248576 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | |||||||||
| FaxNumber: | 3368820236 | ||||||||
| Practice Location | |||||||||
| Address1: | 2505 NEWPOINT PKWY STE 100 | ||||||||
| Address2: | |||||||||
| City: | LAWRENCEVILLE | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300436003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6782577078 | ||||||||
| FaxNumber: | 6786692619 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/04/2017 | ||||||||
| LastUpdateDate: | 04/12/2021 | ||||||||
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| AuthorizedOfficialLastName: | EL-AMIN | ||||||||
| AuthorizedOfficialFirstName: | SAADIQ | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 6782577078 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | MD, PHD | ||||||||
| NPICertificationDate: | 04/12/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.