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Individual

HAJRA M HASAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1701 MAGNOLIA WAY STE 101, AUGUSTA, GA 30909-9484
(706) 922-6600
(706) 650-0236
Mailing address
PO BOX 2510, EVANS, GA 30809-2510
(706) 922-8251
(706) 922-6695

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
070824
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070824
GA LICENSE
GA
Enumeration date
06/28/2011
Last updated
04/16/2026
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