Individual
DR. ASIM KIDWAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
97 HEFNER ST, SUITE 202, EAST ELLIJAY, GA 30540-8268
(706) 635-1400
(706) 635-1411
Mailing address
97 HEFNER ST, SUITE 202, EAST ELLIJAY, GA 30540-8268
(706) 635-1400
(706) 635-1411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
002817
GA
Other
Enumeration date
08/22/2007
Last updated
02/04/2011
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