Organization
NISAR MEDICAL CENTER, INC.
Active
Other names
nisar medical center, inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZHAR NISAR M.D. (PHYSICIAN)
(706) 279-1757
Entity
Organization
Contact information
Practice address
1407 CHATTANOOGA AVE, SUITE B, DALTON, GA 30720-2631
(706) 279-1757
(706) 279-1758
Mailing address
1407 CHATTANOOGA AVE, SUITE B, DALTON, GA 30720-2631
(706) 279-1757
(706) 279-1758
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
042375
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000728494C
—
GA
Enumeration date
05/29/2008
Last updated
05/29/2008
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