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Individual

SYED ABUZAR WASEEM AHMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1602 VERNON RD STE 400, LAGRANGE, GA 30240-4129
(706) 882-9341
(706) 884-0131
Mailing address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 812-2369
(801) 352-7976

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
070332
GA
207R00000X
Internal Medicine Physician
C1-0011103
DE
208M00000X
Hospitalist Physician
C1-0011103
DE

Other

Enumeration date
09/30/2008
Last updated
04/15/2024
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