Individual
AMIR ABDALLAH MBONDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-2696
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R77088
AZ
2084N0400X
Neurology Physician
Primary
100571
GA
2084N0400X
Neurology Physician
R77088
AZ
Other
Enumeration date
07/23/2018
Last updated
10/11/2024
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