Al-Kharrat, Tamim Mohamad

Al-Kharrat, Tamim Mohamad is an sole proprietor health care provider with primary practice located at 219 Riverstone Dr , Canton GA 30114-5256. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Al-Kharrat, Tamim Mohamad can be contacted via phone (770) 345-2670.

Contact Information

Primary practice address
219 Riverstone Dr Canton GA 30114-5256
Fax: (770) 345-2671
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 045382 Georgia

Profile Details

NPI number 1962495267
LBN Legal business name Al-Kharrat, Tamim Mohamad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2005
Last updated Nov 29th, 2012 - about 13 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 1962495267 NPPES
Georgia Other 045382 STATE LICENSE NUMBER

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