Individual
DR. KABANDA MARY MUSENGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-2213
(706) 721-0211
Mailing address
2657 ADAIR TRL, DACULA, GA 30019-6665
(813) 389-7752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17567
GA
207R00000X
Internal Medicine Physician
P128370
NY
Other
Enumeration date
06/18/2024
Last updated
05/06/2025
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