Organization
MUNSAYAC HEALTH LLC
Active
Other names
MUNSAYAC HEALTH LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK ALESSANDRO MUNSAYAC DO (PHYSICIAN)
(912) 375-4884
Entity
Organization
Contact information
Practice address
22 CROSS ST, HAZLEHURST, GA 31539-6426
(912) 375-4884
(912) 375-4881
Mailing address
22 CROSS ST, HAZLEHURST, GA 31539-6426
(912) 375-4884
(912) 375-4881
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
68251
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
GA
Enumeration date
08/03/2017
Last updated
09/13/2017
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