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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