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1407680614
SYED AMMAR SHAH
MOULTRIE, GA
NPI
1407680614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-08-29
Last Update Date
2024-08-29
Business Address
SYED AMMAR SHAH DO
2050 TALLOKAS RD
MOULTRIE, GA 31768-7666
Phone number: 229-668-3110
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Mailing Address
SYED AMMAR SHAH DO
2050 TALLOKAS RD
MOULTRIE, GA 31768-7666
Phone number: 229-668-3110
Copy
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