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MOHAMMED AJJAN

>> Specialist >> Other Service Providers

Registrant NPI Number: 1518913003

Individual Registrant:
 MOHAMMED  AJJAN 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
840 PINE ST SUITE 880 MACON, GA 31201-2100 US
Tel: 478-743-7092  Fax: 478-743-6293

Contact information for business:
840 PINE ST STE 880  MACON, GA 31201-7525 US
Tel: 478-743-7092  Fax: 478-743-6293

Registration Information:
NPI: 1518913003
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N174400000XOther Service Providers
Specialist
GA051773
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
GA51773

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00960858AGA05




HEALTH CARE JOBS GA - Page 1



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