Organization
MEDICAL GROUP OF CENTRAL GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD N AL-SHROOF M.D. (OWNER)
(478) 918-0770
Entity
Organization
Contact information
Practice address
2054 WATSON BLVD, WARNER ROBINS, GA 31093-3634
(478) 918-0770
(478) 918-0771
Mailing address
PO BOX 5048, MACON, GA 31208-5048
(478) 918-0770
(478) 918-0771
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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