Organization
CENTRAL GEORGIA INTERNAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD REHAN M.D. (OWNER)
(478) 745-7696
Entity
Organization
Contact information
Practice address
640 1ST ST, MACON, GA 31201-2805
(478) 745-7696
(478) 745-6440
Mailing address
PO BOX 5048, MACON, GA 31208-5048
(478) 745-7696
(478) 745-6440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11D0990587
CLIA #
GA
Enumeration date
11/13/2006
Last updated
07/02/2008
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