Organization
MEDICAL SPECIALTY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLO MAJID HATEM MD (PRESIDENT)
(229) 890-8474
Entity
Organization
Contact information
Practice address
2421 S MAIN ST, MOULTRIE, GA 31768-6531
(229) 890-8474
(229) 890-5025
Mailing address
2421 S MAIN ST, MOULTRIE, GA 31768-6531
(229) 890-8474
(229) 890-5025
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
051425
GA
207RP1001X
Pulmonary Disease Physician
Primary
051231
GA
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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