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Individual

HAROON AFZAL MIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10515 BELLS FERRY RD STE 200, CANTON, GA 30114-4204
(678) 493-0752
(678) 493-2401
Mailing address
460 NORTHSIDE CHEROKEE BLVD, STE 170, CANTON, GA 30114
(770) 721-9170
(770) 721-9171

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
066222
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000645993
ANTHEM
KY
05
003127721F
GA
05
003127721G
GA
01
111291
SIHO
KY
Enumeration date
03/25/2008
Last updated
03/08/2018
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