Individual
AHMED MOHAMED REFAAT DAKHLY MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.B.B.C.H
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-3325
(706) 721-8623
Mailing address
1120 15TH ST STE BI-1056, AUGUSTA, GA 30912-0004
(706) 721-8623
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
89806
GA
2085R0202X
Diagnostic Radiology Physician
D0101754
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89806
GA MEDICAL LICENSE
GA
Enumeration date
10/31/2016
Last updated
04/09/2025
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