Individual
MUSHTAQ AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
133 W ATHENS ST, WINDER, GA 30680-1786
(770) 867-6633
Mailing address
PO BOX 459, COLBERT, GA 30628-0459
(706) 788-3234
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
076391
GA
207Q00000X
Family Medicine Physician
39928
CO
Other
Enumeration date
03/19/2009
Last updated
07/27/2016
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