Organization Name: | HMA HEALTH SYSTEMS |
NPI Number: | 1073858387 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ABDULAZIZ MASOUD (DIRECTOR) |
Mailing Address: | 216 Middleton Rd Chatsworth |
State: | GA US |
Postal Code: | 307056737 |
Phone Number: | 7062701991 |
Fax Number: | 7066954178 |
NPI Enumeration Date: | 11/28/2012 |
NPI Last Update Date: | 12/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |