Individual
BUTHENA AHMED NAGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.B.CH.B.
Contact information
Practice address
2054 WATSON BLVD, WARNER ROBINS, GA 31093-3634
(478) 741-7241
(478) 745-8932
Mailing address
657 HEMLOCK ST STE 220, MACON, GA 31201-8311
(478) 741-7241
(478) 741-7241
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
73352
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003160889
—
GA
Enumeration date
12/05/2011
Last updated
05/10/2024
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