Infectious Disease Clinic Llc

NPI 1134566367 - Internal Medicine - 207RC0200X

NPI Details
NPI 1134566367
Enumeration Date 05/29/2013
Last Updated 10/24/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name AYMAN AYMAN
Position OWNER
Phone (478) 333-2622
Fax
Practice Location
104 BORDERS WAY STE 400
WARNER ROBINS GA, 31088-8967, US
Phone (478) 333-2622
Fax
Business Location
PO BOX 14485
MACON GA, 31203-4485, US
Phone (478) 284-2508
Fax
Toxanomy
Taxonomy Code 207RC0200X
License State Georgia
License Number 55016
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According to our database, Infectious Disease Clinic Llc NPI is 1134566367, taxonomy code is 207RC0200X and license number is 55016, license state is located at Georgia. Infectious Disease Clinic Llc physically located at 104 Borders Way Ste 400, Warner Robins GA, 31088-8967. NPI Number 1033115704 has the healthcare provider type.

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1134566367 NPI number is provided on an as is basis without warranty of any kind. 1134566367 is maintained by the National Plan & Provider Enumeration System. The contents of Infectious Disease Clinic Llc are for informational purposes only.