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Individual

AHMED MOSTAFA NASSAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
777 CLEVELAND AVE SW, SUITE 616, ATLANTA, GA 30315-7129
(404) 766-6626
(404) 766-6260
Mailing address
777 CLEVELAND AVE SW, SUITE 616, ATLANTA, GA 30315-7129
(404) 766-6626
(404) 766-6260

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
054428
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
971776772
GA
01
P00479394
RAIL ROAD MEDICARE
GA
Enumeration date
12/29/2005
Last updated
08/06/2009
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