Individual
MOHAMMAD ALI ESMAEIL POUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1631 GORDON HWY STE 17A, AUGUSTA, GA 30906-2229
(706) 230-7000
(762) 257-7442
Mailing address
PO BOX 740015, ATLANTA, GA 30374-0015
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
111146
GA
207R00000X
Internal Medicine Physician
2023-02312
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2020
Last updated
03/02/2026
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