Individual
KARIM MAMDOUH GHANEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
5665 NEW NORTHSIDE DRIVE, SUITE 320, ATLANTA, GA 30328
(770) 874-5408
Mailing address
P.O. BOX 27, 37 JONES STREET, BOYDTON, VA 23917
(919) 621-3469
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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