NPI | 1982769568 |
---|---|
Former Legal Business Name | MA MASROOR MD PC |
Entity Type | Organization |
Authorized Contact | MOHAMMAD ALI MASROOR President 912-352-1553 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 017705) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 031689) |
363AM0700X Physician Assistant, Medical (Licence: GA 3752) | |
Enumeration Date | 2006-12-26 |
Last Update Date | 2015-07-08 |