Individual
DR. AHMAD AZMI KABBANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
640 MARTIN LUTHER KING JR BLVD STE 200, MACON, GA 31201-3297
(478) 745-5455
(478) 745-2915
Mailing address
640 MARTIN LUTHER KING JR BLVD STE 200, MACON, GA 31201-3297
(478) 745-5455
(478) 745-3915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
005444
GA
207RN0300X
Nephrology Physician
Primary
005444
GA
Other
Enumeration date
05/22/2012
Last updated
01/29/2020
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