Individual
SHAMS MARZOUQ S MARZOUQ S ALOTAIBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 CALDWELL CIR, AUGUSTA, GA 30909-5714
(706) 414-4553
Mailing address
223 CALDWELL CIR, AUGUSTA, GA 30909-5714
(706) 414-4553
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
111754
GA
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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