Individual
SHABBIR MOTIWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 SAINT MARYS RD, COLUMBUS, GA 31907-6258
(706) 685-2770
(706) 685-3299
Mailing address
4000 SAINT MARYS RD, COLUMBUS, GA 31907-6258
(706) 660-8505
(706) 660-9390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36581
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00166219
RAILROAD MEDICARE
—
Enumeration date
12/05/2005
Last updated
03/26/2008
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