Individual
DR. MIRA GHALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MSC
Contact information
Practice address
1430 JOHN WESLEY GILBERT DR, AUGUSTA, GA 30912-0001
(706) 721-2442
Mailing address
1430 JOHN WESLEY GILBERT DR, AUGUSTA, GA 30912-0001
(706) 721-2442
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN015842
GA
1223P0300X
Periodontics
DNCS000514
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00321649A
—
GA
Enumeration date
06/29/2016
Last updated
02/19/2026
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