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Individual

DR. HUMZA ILYAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3379 PEACHTREE RD NE STE 500, ATLANTA, GA 30326-1418
(404) 591-4313
(678) 420-7099
Mailing address
3379 PEACHTREE RD NE STE 500, ATLANTA, GA 30326-1418
(404) 591-4313
(678) 420-7099

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
25907
WV
207ND0101X
MOHS-Micrographic Surgery Physician
010101256173
VA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
064830
GA
207ND0101X
MOHS-Micrographic Surgery Physician
GA64830
GA

Other

Enumeration date
04/08/2008
Last updated
02/07/2019
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