Individual
DR. MOHAMED MIDANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
145 N MEDICAL PKWY, WOODSTOCK, GA 30189-7031
(770) 517-1900
Mailing address
2230 TOWNE LAKE PKWY, BUILDING 300, SUITE 100, WOODSTOCK, GA 30189-5540
(770) 517-1900
(770) 926-3215
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
019080
GA
Other
Enumeration date
10/20/2005
Last updated
10/11/2019
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