Individual provider · NPI-1

Mojahed Ahmed Al-Ganim, PT, DPT

Physical Therapist · Lawrenceville, GA

NPI number1639727688

StatusActive

Last updated in NPPESMar 5, 2020

Details

NPI: 1639727688
Entity type: Individual (NPI-1)
Name: Mojahed Ahmed Al-Ganim
Credential: PT, DPT
Sex: Male
Sole proprietor: No
Enumeration date: Sep 3, 2019
Certification date: Mar 5, 2020
Last updated: Mar 5, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
225100000X	Physical Therapist	PT014232	GA	Yes

Practice location

4825 Sugarloaf Pkwy Ste C
Lawrenceville, GA 30044-8800

Phone 678-985-0238 · Fax 678-985-0136

Mailing address

6397 Lee Hwy Ste 300
Chattanooga, TN 37421-4915

Phone 423-238-7217 · Fax 423-238-3473

Other practice locations

4523 Forsyth Rd
Macon, GA 31210-4527

Phone 478-254-7010

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