Individual
MR. WORLUBAH MICHAEL PAYWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6604 SPLASHWATER DR, FLOWERY BRANCH, GA 30542-7614
(678) 851-2175
Mailing address
6604 SPLASHWATER DR, FLOWERY BRANCH, GA 30542-7614
(678) 851-2175
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
056914407
GA
Other
Enumeration date
03/19/2019
Last updated
11/27/2023
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