Organization
VIRTUAL ICU COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IYABO F. MURAINA (BUSINESS MANAGER)
(478) 477-9603
Entity
Organization
Contact information
Practice address
560 FIRST STREET, MACON, GA 31201-2824
(478) 477-9603
(478) 744-9552
Mailing address
560 FIRST STREET, MACON, GA 31201-2824
(478) 477-9603
(478) 744-9552
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
06/17/2020
Last updated
06/25/2020
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