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1043735095
AHMAD ALEISA
CHARLESTON, SC
NPI
1043735095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: SC LL51468)
Enumeration Date
2017-08-11
Last Update Date
2022-07-21
Business Address
AHMAD ALEISA MD
169 ASHLEY AVE ROOM 202 MAIN HOSPITAL
CHARLESTON, SC 29425
Phone number: 843-792-4047
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Mailing Address
AHMAD ALEISA MD
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425-8905
Phone number: 843-792-4047
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