Individual
DR. MUAZ ALAAELDIN IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-1606
(706) 721-0211
Mailing address
5605 GLENRIDGE DR STE 325, ATLANTA, GA 30342-1301
(404) 252-4709
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
92925
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
04/01/2017
Last updated
11/28/2023
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