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Individual

MOHAMED ESSAM ELDEEN IBRAHIM AHMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-1990
(706) 721-1962
Mailing address
824 HICKMAN RD APT C34, AUGUSTA, GA 30904-7107
(570) 880-5439

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
105388
GA

Other

Enumeration date
07/18/2025
Last updated
07/18/2025
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