Individual
OMER M MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 HOSPITAL SOUTH DR STE 409, AUSTELL, GA 30106-8159
(770) 732-9100
Mailing address
1700 HOSPITAL SOUTH DR STE 409, AUSTELL, GA 30106-8159
(770) 732-9100
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
83711
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
MO
Other
Enumeration date
04/01/2011
Last updated
12/18/2019
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