Individual
NOSHEEN AZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
808 BEACON ST, WAYCROSS, GA 31501-7104
(706) 721-3157
Mailing address
PO BOX 173, WAYCROSS, GA 31502-0173
(912) 490-0722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
003585
GA
Other
Enumeration date
06/23/2009
Last updated
01/22/2013
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