Individual
MAHENDRA G AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1022 WEST BRYAN ST, DOUGLAS, GA 31533
(912) 384-6630
(912) 632-2117
Mailing address
PO BOX 1009, DOUGLAS, GA 31533
(912) 384-6630
(912) 632-2117
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
027483
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00310186A
—
GA
Enumeration date
12/18/2006
Last updated
11/18/2014
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