Organization
UMERAH FAMILY PRACTICE LLC
Active
Organization
UMERAH FAMILY PRACTICE LLC
Active
Other names
Ageless Aesthetics of Central GA, Llc
Organization subpart
No
Provider details
NPI number
Authorized official
ANAYO UMERAH MD (CEO)
(470) 716-0285
Entity
Organization
Contact information
Practice address
320 MARGIE DR, WARNER ROBINS, GA 31088-7817
(478) 333-2595
Mailing address
320 MARGIE DR, WARNER ROBINS, GA 31088-7817
(478) 333-2595
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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