Issa, Mahmoud A
Issa, Mahmoud A is an individual health care provider with primary practice located at 224 Memorial Dr Suite A, Jacksonville NC 28546-6332. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Issa, Mahmoud A can be contacted via phone (910) 577-1444.Contact Information
Primary practice address
224 Memorial Dr Suite A
Jacksonville NC 28546-6332
Phone: (910) 577-1444
Fax: (910) 577-1001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 22581 | North Carolina |
Profile Details
| NPI number | 1295732121 |
|---|---|
| LBN Legal business name | Issa, Mahmoud A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Nov 14th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295732121 | NPPES |
| North Carolina | MEDICAID | 8901890 |
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