Individual
AHMED JAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6613 FAWN VIEW DR, CHARLOTTE, NC 28216-4847
(619) 721-4669
Mailing address
6613 FAWN VIEW DR, CHARLOTTE, NC 28216-4847
(619) 721-4669
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
000043438255
NC
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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