Ghaly, Mira

Ghaly, Mira is an individual health care provider with primary practice located at 1430 John Wesley Gilbert Dr , Augusta GA 30912-0001. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Ghaly, Mira can be contacted via phone (706) 721-2442.

Contact Information

Primary practice address
1430 John Wesley Gilbert Dr Augusta GA 30912-0001
Phone: (706) 721-2442
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DNCS000514 Georgia
Dental Providers / Periodontics 1223P0300X DN015842 Georgia

Profile Details

NPI number 1144671397
LBN Legal business name Ghaly, Mira
Credentials DMD, MSC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2016
Last updated Apr 13th, 2023 - about last year

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 1144671397 NPPES
Georgia MEDICAID 00321649A

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