Individual
DR. MOHAMMED AZHAR ATHAR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
826 MARSHALL ST, MT AIRY, NC 27030-4460
(336) 789-7555
(336) 789-8270
Mailing address
826 MARSHALL ST, MT AIRY, NC 27030-4460
(336) 789-7555
(336) 789-8270
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21735
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8912157
—
NC
Enumeration date
08/24/2005
Last updated
07/08/2007
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