Individual
MOHAMED ELBASHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1266 HIGHWAY 515 S, JASPER, GA 30143-4872
(706) 692-2441
Mailing address
PO BOX 636019, CINCINNATI, OH 45263-6019
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
059714
GA
Other
Enumeration date
02/28/2007
Last updated
11/15/2007
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