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Individual

DR. MAZHAR M PASHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPO, BOCPO, WRF

Contact information

Practice address
13606 HUGHES XING, SUITE B, HAMPTON, GA 30228-2269
(404) 348-6277
(888) 908-4762
Mailing address
13606 HUGHES XING, SUITE B., HAMPTON, GA 30228-2269
(404) 348-6277
(888) 908-4762

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
99
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
45-3937894
FEDERAL ID
GA
Enumeration date
04/17/2013
Last updated
11/03/2015
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