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Individual

MAMOUN R PACHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16 S DOUGLAS AVE, SYLACAUGA, AL 35150-2951
(256) 245-2269
(256) 245-2260
Mailing address
16 S DOUGLAS AVE, SYLACAUGA, AL 35150-2951
(256) 245-2269
(256) 245-2260

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8767
AL

Other

Enumeration date
08/29/2005
Last updated
04/11/2008
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