Provider Demographics
NPI:1770364689
Name:HABIB, HAWABU BAWA
Entity type:Individual
Prefix:
First Name:HAWABU
Middle Name:BAWA
Last Name:HABIB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3755 GOLFE LINKS DR
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-4752
Mailing Address - Country:US
Mailing Address - Phone:770-374-4151
Mailing Address - Fax:
Practice Address - Street 1:3755 GOLFE LINKS DR
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-4752
Practice Address - Country:US
Practice Address - Phone:770-374-4151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide