IBTISAM MOHAMMAD

AUGUSTA, GA
NPI1356239305
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: GA  18013)
Enumeration Date2025-06-26
Last Update Date2025-06-26
Business Address
IBTISAM MOHAMMAD
1120 15TH ST # BP-4109
AUGUSTA, GA 30912-0006
Phone number: 706-721-6100
Mailing Address
IBTISAM MOHAMMAD
1120 15TH ST # BP-4109
AUGUSTA, GA 30912-0006
Phone number: 706-721-6100