Individual
AHMAD MOHAMED ELTELETY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD-PHD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(864) 800-2913
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
010039
GA
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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