MEDICARE: NEYAZIA KARIM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	124Q00000X	Dental Hygienist	DH010505	GA

General Provider Information

NPI Number	:	1174820724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEYAZIA KARIM

Provider Business Mailing Address
First Line	:	1525 LAUREL CROSSING PKWY APT 427
Second Line	:
City	:	BUFORD
State	:	GA
Zip	:	30519-6573
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1525 LAUREL CROSSING PKWY APT 427
Second Line	:
City	:	BUFORD
State	:	GA
Zip	:	30519-6573
Country	:	US
Telephone Number	:	404-452-6795
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2011
Last Update Date	:	12/15/2016

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Directions to “ NEYAZIA KARIM ” Practice Location

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