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Individual

DR. SHAYAN SHUJA ANWAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2518 JIMMY LEE SMITH PKWY, HIRAM, GA 30141-2068
(470) 644-8027
(470) 985-7105
Mailing address
2518 JIMMY LEE SMITH PKWY, HIRAM, GA 30141-2068
(470) 644-8027
(470) 985-7105

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102205766
VA
207Q00000X
Family Medicine Physician
2021-01731
NC
207Q00000X
Family Medicine Physician
VA0116031889
VA
208M00000X
Hospitalist Physician
2021-01731
NC
208M00000X
Hospitalist Physician
Primary
94970
GA

Other

Enumeration date
03/26/2018
Last updated
09/06/2023
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