Individual
DR. AYHAM Y HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 JESSE JEWELL PKWY SE STE 300, GAINESVILLE, GA 30501-3865
(770) 532-0800
(770) 532-0801
Mailing address
1250 JESSE JEWELL PKWY SE STE 300, GAINESVILLE, GA 30501-3865
(770) 532-0800
(770) 532-0801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
050628
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
355208
WELLCARE
GA
01
—
619777309A
AMERIGROUP
GA
05
—
619777309A
—
GA
01
—
949495
BLUE CROSS BLUE SHIELD
GA
Enumeration date
09/30/2005
Last updated
07/21/2022
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