Individual
AMMAR BAIG MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 226-5000
Mailing address
4014 FALLEN LEAF CT, KENNESAW, GA 30152-7500
(404) 754-8695
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN262220
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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