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Organization

CLASSIC CITY INTERNAL MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EMAD UDDIN AHMED MD (PRESIDENT)
(706) 543-3130
Entity
Organization

Contact information

Practice address
385 HAWTHORNE LN STE 200, ATHENS, GA 30606-2100
(706) 543-3130
(706) 543-3215
Mailing address
385 HAWTHORNE LN STE 200, ATHENS, GA 30606-2100
(706) 543-3130
(706) 543-3215

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
045157
GA

Other

Enumeration date
05/01/2007
Last updated
03/27/2008
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