Individual
TAREK BISAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1062 FORSYTH ST STE 210, MACON, GA 31201-8637
(478) 633-8391
(478) 633-8395
Mailing address
1062 FORSYTH ST STE 210, MACON, GA 31201-8637
(478) 633-8391
(478) 633-8395
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
030954
GA
Other
Enumeration date
02/24/2006
Last updated
10/26/2020
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