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NPI Code Detail

MEDICARE: DR. SAUDAT MOHAMMED MAWIA

MEDICARE: DR. SAUDAT MOHAMMED MAWIA
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
1183500000XPharmacistRPH033195GA

General Provider Information

NPI Number : 1770222408
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAUDAT MOHAMMED MAWIA
Provider Business Mailing Address
First Line : 4808 BUENA VISTA RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31907-5014
Country : US
Telephone Number : 706-569-9439
Fax Number :
Provider Business Practice Location Address
First Line : 4808 BUENA VISTA RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31907-5014
Country : US
Telephone Number : 706-569-9439
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2022
Last Update Date : 06/01/2022

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Directions to “ DR. SAUDAT MOHAMMED MAWIA ” Practice Location

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