Organization
MUNSAYAC MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUMAWIG Y MUNSAYAC M.D. (PRESIDENT)
(912) 363-4389
Entity
Organization
Contact information
Practice address
308 MAIN ST, LUMBER CITY, GA 31549-9752
(912) 363-4389
(912) 363-1377
Mailing address
PO BOX 519, LUMBER CITY, GA 31549-0519
(912) 363-4389
(912) 363-1377
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
015028
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00033118A
—
GA
Enumeration date
08/23/2005
Last updated
08/22/2020
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