Individual
DR. MOHAMMAD ALQAISIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1432 BROADRICK DRIVE, DALTON, GA 30720
(706) 226-8990
(706) 529-5317
Mailing address
1200 MEMORIAL DRIVE, DALTON, GA 30720
(706) 226-8996
(706) 272-6761
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
14281
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/28/2022
Last updated
09/27/2024
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