Individual
DR. YASIR HAMZEH BOUCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-5052
(706) 721-2503
Mailing address
2073 SUGARSTONE DR, LAWRENCEVILLE, GA 30043-5052
(404) 917-5650
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
11975
GA
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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