Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 048783 | GA |
N | 208600000X | Surgeon | 048783 | GA |
N | 2082S0105X | Plastic Hand Surgeon | 048783 | GA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 048783 | GA |
NPI | 1144297466 |
---|---|
Provider Name | Dr. S.m. Abu Zaheed Hassan |
First Address | Augusta, GA 30914-3726 |
Second Address | Augusta, GA 30909-1868 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2006 |
Last Update Date | 07/06/2021 |