Individual
DR. JAMAL M ABUSHAALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, BIW 6033, AUGUSTA, GA 30912-0004
(706) 721-2331
(706) 721-7531
Mailing address
1120 15TH ST, BIW 6033, AUGUSTA, GA 30912-0004
(706) 721-2331
(706) 721-7531
Taxonomy
Speciality
Code
Description
License number
State
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
001850
GA
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
L8254
TX
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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