Individual
MAHRUKH JAMIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1789 CHRISTIANA DR, LAWRENCEVILLE, GA 30043-6218
(404) 916-0964
Mailing address
1789 CHRISTIANA DR, LAWRENCEVILLE, GA 30043-6218
(404) 916-0964
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12737
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/21/2023
Last updated
04/02/2025
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