Individual
GERALD J KHACHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1467 HARPER ST, AUGUSTA, GA 30901-2600
(706) 721-4628
Mailing address
1467 HARPER ST, AUGUSTA, GA 30901-2600
(706) 721-4628
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
GA 059253
GA
208200000X
Plastic Surgery Physician
MD429289
PA
Other
Enumeration date
08/03/2006
Last updated
12/13/2021
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