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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144671397 | NPPES |
| Georgia | MEDICAID | 00321649A |
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