Individual
ANAS SOUID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-0211
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(762) 375-7401
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
111797
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TX
Other
Enumeration date
03/26/2020
Last updated
04/27/2026
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