Individual
NAJAM AZMAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 CONFEDERATE WAY, WAYCROSS, GA 31503-9490
(912) 338-9796
Mailing address
707 CONFEDERATE WAY, WAYCROSS, GA 31503-9490
(912) 338-9796
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
056512
GA
2086S0129X
Vascular Surgery Physician
Primary
056512
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
749349931A
—
GA
Enumeration date
08/11/2005
Last updated
02/18/2010
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