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INFECTION SPECIALISTS OF MIDDLE GEORGIA LLC NPI 1700011244


NPI Information

NPI: 1700011244
Provider Name: INFECTION SPECIALISTS OF MIDDLE GEORGIA, LLC
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

Address:
1420 WATSON BLVD
WARNER ROBINS, GA
ZIP 31093
Phone: (478) 922-5122
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INFECTION SPECIALISTS OF MIDDLE GEORGIA, LLC is an infectious disease internal medicine in Warner Robins, GA. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. INFECTION SPECIALISTS OF MIDDLE GEORGIA, LLC NPI is 1700011244. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1420 WATSON BLVD
WARNER ROBINS, GA
ZIP 31093-446
Phone: (478) 922-5122
Fax: (478) 922-5221

The provider's authorized official is Modupe Oluwatoyin Ogunsakin .
The authorized official title is Office Manager and has the following contact phone number (478) 922-5122.

The enumeration date for this NPI number is 5/28/2009 and was last updated on 12/4/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine55136GEORGIANo
2207RI0200XInternal MedicineInfectious Disease55136GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
111SCDCMMEDICARE PINGEORGIA
2G56559MEDICARE UPINGEORGIA
3721242214AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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