Individual
EHTESHAMUL HAQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4820 ARMOUR RD, SUITE A-4, COLUMBUS, GA 31904-5296
(706) 649-7676
(706) 649-5497
Mailing address
4820 ARMOUR RD, SUITE A-4, COLUMBUS, GA 31904-5296
(706) 649-7676
(706) 649-5497
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
03/18/2008
Last updated
04/15/2009
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