Individual
DR. HOSSAM ELDIN FADEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1348 WALTON WAY, SUITE 5500, AUGUSTA, GA 30901-5104
(706) 724-2148
(706) 724-1908
Mailing address
1348 WALTON WAY, SUITE 5500, AUGUSTA, GA 30901-5104
(706) 724-2148
(706) 724-1908
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
017172
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00014011B
—
GA
Enumeration date
08/19/2005
Last updated
07/08/2007
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