BENAISSA KADDOUR DJEBBAR

AUGUSTA, GA
NPI1114200029
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  APRN 204732)
Enumeration Date2011-09-27
Last Update Date2011-09-27
Business Address
-- BENAISSA KADDOUR DJEBBAR
3405 MIKE PADGETT HWY EAST CENTRAL REGIONAL HOSPITAL -FORENSIC UNIT
AUGUSTA, GA 30906-3815
Phone number: 706-792-7073
Mailing Address
-- BENAISSA KADDOUR DJEBBAR
2060 DUNDEE WAY
GROVETOWN, GA 30813-8124
Phone number: 706-627-3762
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