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Individual

HAMID REDHA SHIRAZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
350 HOSPITAL DR, MACON, GA 31217-3838
(478) 751-0367
Mailing address
380 HOSPITAL DR STE 430, MACON, GA 31217-8017

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
103279
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/25/2022
Last updated
05/04/2026
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