Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 060181 | GA |
N | 207ND0101X | MOHS-Micrographic Surgeon | 060181 | GA |
NPI | 1023095957 |
---|---|
Provider Name | Firas George Hougeir |
First Address | Maitland, FL 32751-7172 |
Second Address | Douglasville, GA 30135-7542 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2005 |
Last Update Date | 04/01/2017 |