Organization
SOUTHEAST HEART AND VASCULAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOBUSHER MAHMUD MD (CEO)
(215) 850-2698
Entity
Organization
Contact information
Practice address
1000 IRIS DR SW, CONYERS, GA 30094-6632
(215) 850-2698
Mailing address
1057 WEST AVE SW, CONYERS, GA 30012-5243
(215) 850-2698
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
066213
GA
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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