MEDICARE: DR. MOHAMMED ALMZAYYEN MD

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	208600000X	Surgery Physician	85479	GA
2	2086S0102X	Surgical Critical Care Physician	85479	GA

General Provider Information

NPI Number	:	1013350131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMMED ALMZAYYEN MD

Provider Business Mailing Address
First Line	:	3647 J DEWEY GRAY CIR STE 200
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30909-2205
Country	:	US
Telephone Number	:	706-504-9712
Fax Number	:	706-504-9703

Provider Business Practice Location Address
First Line	:	2146 BELCOURT AVE
Second Line	:	VMG BUSINESS OFFICE
City	:	NASHVILLE
State	:	TN
Zip	:	37212-3504
Country	:	US
Telephone Number	:	615-343-6642
Fax Number	:

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

Provider Enumeration Date	:	04/08/2013
Last Update Date	:	01/04/2022

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