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DR. ALI AHMADI MD

Psychiatry >> Psychiatry & Neurology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1407993157

Individual Registrant:
DR. ALI  AHMADI MD
Gender: M
Sole Proprietor

Location and contact information for practice:
3902 NORTHSIDE DR SUITE A4 MACON, GA 31210-2459 US
Tel: 478-474-8774  Fax: 478-474-8734

Contact information for business:
3902 NORTHSIDE DR SUITE A4 MACON, GA 31210-2459 US
Tel: 478-474-8774  Fax: 478-474-8734

Registration Information:
NPI: 1407993157
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2084P0800XAllopathic & Osteopathic Physicians
Psychiatry & Neurology
Psychiatry
GA046824
N2084P0800XAllopathic & Osteopathic Physicians
Psychiatry & Neurology
GA46824

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00832378CGA05




HEALTH CARE JOBS GA - Page 1



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