Organization
NAJAM AZMAT, M. D., P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAJAM AZMAT M. D. (PRESIDENT)
(912) 338-9796
Entity
Organization
Contact information
Practice address
707 CONFEDERATE WAY, WAYCROSS, GA 31503-9490
(912) 338-9796
Mailing address
707 CONFEDERATE WAY, WAYCROSS, GA 31503-9490
(912) 338-9796
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
056512
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056512
STATE LICENSE NUMBER
GA
05
—
749349931A
—
GA
Enumeration date
04/05/2006
Last updated
02/18/2010
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