NPI 1114034758

Central Georgia Internist

Organisation Specialist Macon, GA

Practice location

Address: 657 Hemlock St STE 220, Macon, GA 31201-8329
Phone: (478) 741-7241

Authorised official

Name: Mufid a Othman
Title: President
Phone: (478) 741-7241

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1114034758
Entity type: Organization
NPI issued: 23 Aug 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.