Individual
DR. MOHAMAD MASOUMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(314) 616-4062
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(314) 616-4062
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
003618
GA
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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