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Individual

MOHAMMAD OMAR BUTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1900 TEBEAU ST, WAYCROSS, GA 31501-6357
(912) 283-3030
Mailing address
2015 PACIFIC AVE, ATLANTIC CITY, NJ 08401-6726
(609) 449-4391

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
90023
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/20/2019
Last updated
06/13/2022
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