Individual
HITHAM H KHALIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2109 N PATTERSON ST STE B, VALDOSTA, GA 31602-2577
(229) 469-7271
(844) 662-3122
Mailing address
2109 N PATTERSON ST STE B, VALDOSTA, GA 31602-2577
(229) 469-7271
(844) 662-3122
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
058261
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
319783970A
—
GA
Enumeration date
09/27/2006
Last updated
03/10/2017
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