Individual
AINNY SHAMIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
88 MARTIN LUTHER KING JR DR, FORSYTH, GA 31029-1682
(478) 994-2521
Mailing address
1601 W 40TH AVE STE 1, PINE BLUFF, AR 71603-6319
(870) 541-6000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
91592
GA
207Q00000X
Family Medicine Physician
E-14185
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2019
Last updated
02/19/2024
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