Individual
IMAN FERDJALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1475 LANEY WALKER BLVD, AUGUSTA, GA 30912-7310
(706) 721-7005
Mailing address
1475 LANEY WALKER BLVD, AUGUSTA, GA 30912-7310
(706) 721-7005
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2020
Last updated
07/07/2024
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