Individual
ZHEAR AL-GODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1107 EARL FRYE BLVD, SUITE 5, AMORY, MS 38821-5519
(662) 257-6705
Mailing address
123 MAIN ST N, AMORY, MS 38821-3416
(662) 256-7111
(662) 256-7116
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
19590
MS
2080N0001X
Neonatal-Perinatal Medicine Physician
ME117563
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010405800
—
FL
05
—
02902345
—
MS
Enumeration date
03/29/2007
Last updated
06/05/2019
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