Individual
SAMIA SANA MOIZUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1090 HIGHWAY 78 E, JASPER, AL 35501-3959
(205) 387-9787
(205) 387-9952
Mailing address
1090 HIGHWAY 78 E, JASPER, AL 35501-3959
(205) 387-9787
(205) 387-9952
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24363
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051504982
BC/BS
AL
05
—
529900540
—
AL
Enumeration date
07/23/2006
Last updated
06/15/2015
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