Individual
MUJEEB A JAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 DALLAS HWY, STE 104, VILLA RICA, GA 30180-1247
(404) 778-5543
Mailing address
705 DALLAS HWY, STE 104, VILLA RICA, GA 30180-1247
(404) 778-5543
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
054226
GA
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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