Organization
HYPERTENSION AND KIDNEY ASSOCIATES OF MIDDLE GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD ASLAM MD (PHYSICIAN)
(478) 333-3612
Entity
Organization
Contact information
Practice address
105 TOMMY STALNAKER DR, SUITE 1, WARNER ROBINS, GA 31088-8956
(478) 333-3612
(478) 333-3631
Mailing address
105 TOMMY STALNAKER DR, SUITE 1, WARNER ROBINS, GA 31088-8956
(478) 333-3612
(478) 333-3631
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
050597
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000968613O
—
GU
05
—
000968613P
—
GA
05
—
000968613Q
—
GU
05
—
000968613Z
—
GA
05
—
148116723AB
—
GA
05
—
148116723N
—
GA
05
—
148116723O
—
GA
05
—
148116723Q
—
GA
Enumeration date
06/15/2007
Last updated
03/23/2015
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