Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 4301079114 | MI |
N | 208600000X | Surgeon | 4301079114 | MI |
N | 2086S0102X | Surgical Critical Care | 68090 | GA |
Y | 2086S0127X | Trauma Surgeon | 68090 | GA |
NPI | 1285857391 |
---|---|
Provider Name | Dr. Adil M Abuzeid |
First Address | Augusta, GA 30901-2602 |
Second Address | Augusta, GA 30912-0004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 19/08/2013 |