Individual
ABDUL HASEEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
890 2ND ST STE 201, MACON, GA 31201-6863
(478) 745-4322
(478) 254-3629
Mailing address
890 2ND ST STE 201, MACON, GA 31201-6863
(478) 745-4322
(478) 254-3629
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
93031
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2018
Last updated
07/01/2023
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