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DR. ALI AHMADI MD
Psychiatry >> Psychiatry & Neurology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1407993157
Individual Registrant:DR. ALI AHMADI MD
Gender: M
Sole Proprietor
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
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
Tel: 478-474-8774 Fax: 478-474-8734
Registration Information:
NPI: 1407993157
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2084P0800X | Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry | GA | 046824 |
| N | 2084P0800X | Allopathic & Osteopathic Physicians Psychiatry & Neurology | GA | 46824 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00832378C | GA | 05 |
