Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DNF000419 | GA |
N | 1223P0700X | Prosthodontist | S136 | MN |
NPI | 1215232103 |
---|---|
Provider Name | Dr. Abdulmohsin Hassan Alhashim |
First Address | Augusta, GA 30912-0004 |
Second Address | Augusta, GA 30912-1001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2011 |
Last Update Date | 22/10/2021 |