Individual
DR. ALI AHMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3902 NORTHSIDE DR, SUITE A4, MACON, GA 31210-2459
(478) 474-8774
(478) 474-8734
Mailing address
3902 NORTHSIDE DR, SUITE A4, MACON, GA 31210-2459
(478) 474-8774
(478) 474-8734
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
046824
GA
2084P0800X
Psychiatry Physician
46824
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00832378C
—
GA
Enumeration date
01/31/2007
Last updated
10/01/2013
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