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Individual

DR. MOE H BISHARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1351 LAKE WELBROOK DR, ATHENS, GA 30606-7631
(706) 389-7800
(706) 389-7830
Mailing address
1350 LAKE WELLBROOK DR., ATHENS, GA 30606
(706) 389-7800
(706) 389-7830

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
056808
GA

Other

Enumeration date
07/28/2006
Last updated
07/08/2007
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