Individual
MOAZ AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
743 SPRING STREET, SUITE 710, GAINESVILLE, GA 30501
(770) 219-8730
Mailing address
743 SPRING STREET, SUITE 710, GAINESVILLE, GA 30501
(770) 219-8730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2022026922
MO
Other
Enumeration date
04/18/2019
Last updated
08/08/2022
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