Organization
MIDDLE GEORGIA CHEST AND MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANIL K PURI MD (OFFICER)
(478) 452-3200
Entity
Organization
Contact information
Practice address
1209 COLUMBIA DR, MILLEDGEVILLE, GA 31061
(478) 452-3200
(478) 452-1515
Mailing address
1209 COLUMBIA DR, MILLEDGEVILLE, GA 31061
(478) 452-3200
(478) 452-1515
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000209833G
—
GA
05
—
003125054B
—
GA
05
—
803300847A
—
GA
Enumeration date
05/16/2018
Last updated
05/16/2018
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