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Ehteshamul Haque

Orthotic Fitter in Columbus, GA. Individual provider (NPI-1).

NPI number1821269887
StatusActive
Last updated in NPPESApr 15, 2009

Details

NPI
1821269887
Entity type
Individual (NPI-1)
Name
Ehteshamul Haque
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 18, 2008
Last updated
Apr 15, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225000000X Orthotic Fitter––Yes

Practice location

4820 Armour Rd
Suite A-4
Columbus, GA 31904-5296

Phone 706-649-7676 · Fax 706-649-5497

Mailing address

4820 Armour Rd
Suite A-4
Columbus, GA 31904-5296

Phone 706-649-7676 · Fax 706-649-5497

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