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Individual

CELESTINE O MAIKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7823 SPIVEY STATION BLVD STE 100, JONESBORO, GA 30236-2886
(404) 251-2680
(404) 252-2688
Mailing address
7823 SPIVEY STATION BLVD STE 100, JONESBORO, GA 30236-2886
(404) 251-2680
(404) 252-2688

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
052283
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
199807383A
GA
01
841642192
TAX ID
GA
Enumeration date
07/13/2005
Last updated
08/11/2023
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