Individual
O AKHRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
446 SPRING ST, SPARTA, GA 31087-1904
(706) 444-6521
(706) 444-6839
Mailing address
446 SPRING ST, P.O. BOX 485, SPARTA, GA 31087-1904
(706) 444-6521
(706) 444-6839
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
020504
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100168
PEACHSTATE
GA
01
—
10040031
AMERIGROUP
GA
01
—
480588
BLUE CROSS
GA
Enumeration date
08/05/2006
Last updated
03/18/2008
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