Individual provider · Type 1 NPI

Iman Ferdjallah, MD

Student in an Organized Health Care Education/Training Program · Augusta, GA

NPI number 1730717851 Active

Practice location

1475 Laney Walker Blvd
Augusta, GA 30912-7310

Call (706) 721-7005 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730717851

Iman Ferdjallah, MD's National Provider Identifier is 1730717851, issued on Apr 1, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Augusta, GA. The record was last updated on Jul 7, 2024.