# NAJAM AZMAT, M. D., P. C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063474088
- **Authorized official:** NAJAM AZMAT M. D. (PRESIDENT)
- **Authorized official phone:** (912) 338-9796

## Contact information

- **Practice address:** 707 CONFEDERATE WAY, WAYCROSS, GA 31503-9490
- **Practice address phone:** (912) 338-9796
- **Mailing address:** 707 CONFEDERATE WAY, WAYCROSS, GA 31503-9490
- **Mailing address phone:** (912) 338-9796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 056512 | GA | Yes |

## Other

- **Enumeration date:** 04/05/2006
- **Last updated:** 02/18/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 056512 | STATE LICENSE NUMBER | GA |
| 05 | — | 749349931A | — | GA |