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DR. ASIM KIDWAI MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1841483823

Individual Registrant:
DR. ASIM  KIDWAI MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
97 HEFNER ST SUITE 202 EAST ELLIJAY, GA 30540-8268 US
Tel: 706-635-1400  Fax: 706-635-1411

Contact information for business:
97 HEFNER ST SUITE 202 EAST ELLIJAY, GA 30540-8268 US
Tel: 706-635-1400  Fax: 706-635-1411

Registration Information:
NPI: 1841483823
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
GA002817

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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