Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 85479 | GA |
N | 208600000X | Surgeon | 85479 | GA |
Y | 2086S0102X | Surgical Critical Care | 85479 | GA |
NPI | 1013350131 |
---|---|
Provider Name | Dr. Mohammed Almzayyen |
First Address | Augusta, GA 30909-2205 |
Second Address | Nashville, TN 37212-3504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2013 |
Last Update Date | 04/01/2022 |