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Mbill Shadman Khan
Student in an Organized Health Care Education/Training Program in Statesboro, Georgia
NPI 1649848730

Mbill Shadman Khan is a Student in an Organized Health Care Education/Training Program based in Norcross, GA. Mbill Shadman Khan practices in Statesboro, GA. The NPI Number for Mbill Shadman Khan is 1649848730 and holds a License No. (Georgia).

The current practice location address for Mbill Shadman Khan is 1332 Southern Dr, Statesboro, GA and can be reached out via phone at 912-478-2674.

Location: 1332 Southern Dr, Statesboro, GA, 30093-1615
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649848730
Provider Name
Mbill Shadman Khan
Credential
Provider Entity Type
Individual
Gender
Male
Address
1332 Southern Dr, Statesboro, GA, 30093-1615
Phone Number
912-478-2674
Fax Number
Provider Enumeration Date
06/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1332 Southern Dr
City
Statesboro
State
Georgia
Zip
30460-1360
Phone Number
912-478-2674
Fax Number
person
Provider Business Mailing Address Details
Address
1332 Southern Dr
City
Statesboro
State
Georgia
Zip
30460-1360
Phone Number
912-478-2674
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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