Georgia
Composite Medical Board
MIR, AAMIR, MD
Medical - Physician
License number
072594
Date granted
08/07/2014
Date expires
09/30/2017
Class
Medical - Physician
Status
Active
Address
15167 SW 119TH STREET
georgiadoctors.net
ID 38065922
LAST UPDATED 2026-04-21 16:44:51 UTC
LAST UPDATED 2026-04-21 16:44:51 UTC
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