Organization
HMA HEALTH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULAZIZ MASOUD (DIRECTOR)
(706) 270-1991
Entity
Organization
Contact information
Practice address
216 MIDDLETON RD, CHATSWORTH, GA 30705-6737
(706) 270-1991
(706) 695-4178
Mailing address
216 MIDDLETON RD, CHATSWORTH, GA 30705-6737
(706) 270-1991
(706) 695-4178
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
11/28/2012
Last updated
12/04/2012
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