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Individual

DR. AHMAD KARIM MIRZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912-2364
(706) 721-3862
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-0004
(706) 721-3813

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
1186
GA
208600000X
Surgery Physician
1186
GA
390200000X
Student in an Organized Health Care Education/Training Program
57.246840
OH

Other

Enumeration date
08/08/2018
Last updated
06/16/2023
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