Individual
DR. TAMIM MOHAMAD AL-KHARRAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
219 RIVERSTONE DR, CANTON, GA 30114-5256
(770) 345-2670
(770) 345-2671
Mailing address
219 RIVERSTONE DR, CANTON, GA 30114-5256
(770) 345-2670
(770) 345-2671
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
045382
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045382
STATE LICENSE NUMBER
GA
Enumeration date
08/23/2005
Last updated
11/29/2012
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