Individual
GHULAM MUSTAFA JARWAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2020 HONEY CREEK PKWY SE, SUITE E, CONYERS, GA 30013-2974
(770) 922-0553
(770) 922-6882
Mailing address
PO BOX 82746, CONYERS, GA 30013-9441
(770) 922-0553
(770) 922-6882
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042296
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00726415J
—
GA
Enumeration date
07/10/2006
Last updated
08/27/2012
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