Healthcare Provider Details

I. General information

NPI: 1306763776
Provider Name (Legal Business Name): MUHAMMAD RAFAY AMIR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1446 HARPER ST
AUGUSTA GA
30912-0012
US

IV. Provider business mailing address

1446 HARPER ST
AUGUSTA GA
30912-0012
US

V. Phone/Fax

Practice location:
  • Phone: 706-721-5036
  • Fax: 706-721-9463
Mailing address:
  • Phone: 706-721-5036
  • Fax: 706-721-9463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number113773
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: