Individual
DR. MUNEER AL-HAKIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
116 SPARTA HWY, EATONTON, GA 31024-8484
(706) 923-0904
(706) 923-0905
Mailing address
PO BOX 3009, EATONTON, GA 31024-3009
(478) 452-3835
(478) 295-3050
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
042781
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000739296C
PEACH STATE HEALTH PLAN
GA
05
—
000739296C
—
GA
01
—
000739296D
PEACH STATE HEALTH PLAN
GA
05
—
000739296D
—
GA
01
—
10033063
AMERIGROUP
GA
01
—
166056
BLUE CROSS BLUE SHIELD
GA
01
—
297003
WELLCARE
GA
01
—
297026
WELLCARE
GA
01
—
58-2624216
TAX IDENTIFICATION NUMBER
GA
05
—
611384188A
—
GA
05
—
913725245A
—
GA
Enumeration date
08/25/2006
Last updated
12/15/2025
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