Individual
MUKHTAR O AWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
514 RUE MONTAIGNE, STONE MOUNTAIN, GA 30083-4456
(404) 960-5100
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
248082
IL
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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