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Individual

DR. SAMIR N KHLEIF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-6744
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602
(706) 828-8402

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
D0041702
MD
207RX0202X
Medical Oncology Physician
Primary
067235
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003119656A
GA
Enumeration date
11/12/2006
Last updated
02/25/2014
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