Individual
KOMAL EJAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1270 PRINCE AVE STE 303, ATHENS, GA 30606-2783
(706) 475-7055
Mailing address
1270 PRINCE AVE STE 303, ATHENS, GA 30606-2783
(706) 475-7055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
99527
GA
207RR0500X
Rheumatology Physician
Primary
99527
GA
Other
Enumeration date
05/06/2019
Last updated
07/29/2024
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