Central Georgia Internist

NPI #1114034758 in Macon, Georgia

Provider Information

NPI Number: 1114034758
Entity Type: Organization
Organization Name: Central Georgia Internist
Primary Specialty: Specialist
Enumeration Date: Aug 23, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 657 HEMLOCK ST
Address 2: STE 220
City: Macon
State: Georgia
ZIP Code: 31201-8329
Phone: (478) 741-7241

Authorized Official

Name: MUFID A OTHMAN, M.D.
Title: PRESIDENT
Phone: (478) 741-7241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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