Basic Information
| Provider Information | |||||||||
| NPI: | 1285857391 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | ABUZEID | ||||||||
| FirstName: | ADIL | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1499 WALTON WAY | ||||||||
| Address2: | SUITE 1400 | ||||||||
| City: | AUGUSTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 309012602 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7067246100 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1120 15TH ST # BA-4411 | ||||||||
| Address2: | GEORGIA REGENTS MEDICAL ASSOCIATES | ||||||||
| City: | AUGUSTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 309120004 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7067213153 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/10/2007 | ||||||||
| LastUpdateDate: | 08/19/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 4301079114 | MI | N | Allopathic & Osteopathic Physicians | Surgery | 2086S0127X | 68090 | GA | Y | Allopathic & Osteopathic Physicians | Surgery | Trauma Surgery | 2086S0102X | 68090 | GA | N | Allopathic & Osteopathic Physicians | Surgery | Surgical Critical Care |
No ID Information.