SHAHED ANAM IBN FARUK

AUGUSTA, GA
NPI1033592498
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  7645)
Enumeration Date2015-07-02
Last Update Date2015-07-02
Business Address
-- SHAHED ANAM IBN FARUK
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-2273
Mailing Address
-- SHAHED ANAM IBN FARUK
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-2273
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