Individual
MAHMOOD SAYIED EISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4274 N VALDOSTA RD, VALDOSTA, GA 31602-6814
(229) 242-1234
(229) 247-8110
Mailing address
4274 N VALDOSTA RD, VALDOSTA, GA 31602-6814
(229) 242-1234
(229) 247-8110
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
057162
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
705254737A
—
GA
Enumeration date
11/17/2005
Last updated
07/08/2007
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