Individual
DR. AHMAD IRFAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2003 PIONEER ST # A, WAYCROSS, GA 31501-6249
(912) 284-1210
(912) 284-9091
Mailing address
2003 PIONEER ST # A, WAYCROSS, GA 31501-6249
(912) 284-1210
(912) 284-9091
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
041584
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000701115B
—
GA
Enumeration date
09/22/2006
Last updated
10/31/2011
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