Ajjan, Mohammed

Ajjan, Mohammed is an individual health care provider with primary practice located at 840 Pine St Suite 880, Macon GA 31201-2100. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ajjan, Mohammed can be contacted via phone (478) 743-7092.

Contact Information

Primary practice address
840 Pine St Suite 880 Macon GA 31201-2100
Phone: (478) 743-7092
Fax: (478) 743-6293
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 051773 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 51773 Georgia

Profile Details

NPI number 1518913003
LBN Legal business name Ajjan, Mohammed
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jan 13th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518913003 NPPES
Georgia MEDICAID 00960858A

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