Individual
AHMAD CHARKAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6300 HOSPITAL PARKWAY, SUITE 100, JOHNS CREEK, GA 30097
(770) 771-6591
(770) 771-6599
Mailing address
6300 HOSPITAL PARKWAY, SUITE 100, JOHNS CREEK, GA 30097
(770) 771-6591
(770) 771-6599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
061566
GA
207Q00000X
Family Medicine Physician
38121
KY
207QG0300X
Geriatric Medicine (Family Medicine) Physician
061566
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000300578
ANTHEM
KY
05
—
64074909
—
KY
01
—
K38121
CHOICE CARE
KY
Enumeration date
07/12/2005
Last updated
12/31/2013
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