Individual
MAHAM KHALID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1459 LANEY WALKER BLVD, AUGUSTA, GA 30912-0002
(762) 375-7874
Mailing address
2385 MCMACKIN DR, CORONA, CA 92881-8681
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
17742
GA
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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