Individual
DR. ANTHONY KIMANI MWANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 HOSPITAL DR, MACON, GA 31217-3838
(478) 464-1442
Mailing address
9105 CLARK RD, FAIRBURN, GA 30213-1976
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
033654
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
033654
GA
207RP1001X
Pulmonary Disease Physician
033654
GA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
033654
GA
2084P0800X
Psychiatry Physician
14918A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000608297E
—
GA
Enumeration date
10/26/2005
Last updated
12/15/2022
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