Individual
MAHBOUBEH PISHGOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2971
(706) 721-7248
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2971
(706) 721-7248
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/12/2014
Last updated
01/06/2017
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