Individual
MOHD KHAIRUL ANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
142 OLD MILL ROAD, LAGRANGE, GA 30241
(706) 885-1900
(706) 882-1350
Mailing address
1602 VERNON RD STE 400, LAGRANGE, GA 30240-4129
(706) 882-9341
(706) 884-0131
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
039720
GA
Other
Enumeration date
08/15/2006
Last updated
05/06/2024
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