Individual
MAHMOUD A ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
224 MEMORIAL DR, SUITE A, JACKSONVILLE, NC 28546-6332
(910) 577-1444
(910) 577-1001
Mailing address
224 MEMORIAL DR, SUITE A, JACKSONVILLE, NC 28546-6332
(910) 577-1444
(910) 577-1001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22581
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901890
—
NC
Enumeration date
07/07/2005
Last updated
11/14/2007
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