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NPI Code Detail

MEDICARE: DR. MOHAMMED NAZMUL HUQ D.D.S

MEDICARE: DR. MOHAMMED NAZMUL HUQ D.D.S
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
11223G0001XGeneral Practice DentistryDN012722GA

General Provider Information

NPI Number : 1346466612
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMMED NAZMUL HUQ D.D.S
Provider Business Mailing Address
First Line : 2106 BRODICK LN
Second Line :
City : LITHIA SPRINGS
State : GA
Zip : 30122-6892
Country : US
Telephone Number : 404-933-3592
Fax Number : 770-732-9778
Provider Business Practice Location Address
First Line : 3383 VETERANS MEMORIAL HWY
Second Line :
City : LITHIA SPRINGS
State : GA
Zip : 30122-1450
Country : US
Telephone Number : 770-732-9222
Fax Number : 770-732-9778
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2007
Last Update Date : 07/09/2007

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