Individual
AHMAD K JINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3424 FLAT SHOALS RD, DECATUR, GA 30034-6525
(404) 968-8269
(404) 968-8274
Mailing address
3424 FLAT SHOALS RD, DECATUR, GA 30034-6525
(404) 968-8269
(404) 968-8274
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
045842
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00804339D
—
GA
Enumeration date
04/14/2006
Last updated
11/28/2012
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