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1295764009
NIZAMUDDIN KHAJA
VILLA RICA, GA
NPI
1295764009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: GA 054915)
Enumeration Date
2006-07-02
Last Update Date
2018-03-21
Business Address
NIZAMUDDIN KHAJA M.D.
101 QUARTZ DR # 103
VILLA RICA, GA 30180-3255
Phone number: 770-812-3530
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Mailing Address
NIZAMUDDIN KHAJA M.D.
119 AMBULANCE DR STE 202
CARROLLTON, GA 30117-3857
Phone number: 770-812-3530
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