Individual
MR. MELHIM BOU ALWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 882-1411
(706) 812-2471
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
68984
GA
208M00000X
Hospitalist Physician
Primary
68984
GA
Other
Enumeration date
07/28/2010
Last updated
11/05/2019
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