Individual
DR. FAWZI M HIMADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
811 N. 4TH ST., CORDELE, GA 31015
(229) 273-5575
(229) 273-5075
Mailing address
811 NORTH 4TH ST, CORDELE, GA 31015
(229) 273-5575
(229) 273-5075
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
047442
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000837691D
—
GA
Enumeration date
09/29/2006
Last updated
01/08/2024
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