Individual
YAZAN ALWAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-6600
Mailing address
764 PINE ST, MACON, GA 31201-2107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18086
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2024
Last updated
07/10/2025
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