Individual
DR. ALI M MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1459 MONTREAL RD, STE 312, TUCKER, GA 30084-6900
(770) 270-4060
(770) 270-4061
Mailing address
1459 MONTREAL RD, STE 312, TUCKER, GA 30084-6900
(770) 270-4060
(770) 270-4061
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
046623
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007493308
AETNA
GA
05
—
00815075B
—
GA
01
—
52667599
BLUE CROSS BLUE SHIELD
GA
Enumeration date
03/25/2007
Last updated
07/09/2007
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