Benaissa Kaddour Djebbar

NPI #1114200029 in Augusta, Georgia

Provider Information

NPI Number
1114200029
Entity Type
Individual
Name
Benaissa Kaddour Djebbar
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Sep 27, 2011
Last Updated
Sep 27, 2011

Practice Location

Address
3405 MIKE PADGETT HWY
Address 2
EAST CENTRAL REGIONAL HOSPITAL -FORENSIC UNIT
State
Georgia
ZIP Code
30906-3815
Phone
(706) 792-7073

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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