Individual
DR. AKRAM MAHMOUD HASSANYEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1058 BERMUDA RUN, STATESBORO, GA 30458-0858
(912) 871-7100
(912) 871-7110
Mailing address
1058 BERMUDA RUN, STATESBORO, GA 30458-0858
(912) 871-7100
(912) 871-7110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
029881
GA
208600000X
Surgery Physician
Primary
29881
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000365131D
—
GA
01
—
020046873
RAILROAD MEDICARE
GA
01
—
10062642
AMERIGROUP
GA
01
—
354445
WELLCARE
GA
01
—
582449176
CEDAR SURGICAL ASSOCIATES
GA
Enumeration date
11/01/2006
Last updated
12/12/2015
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