Organization
INTERNAL MEDICINE AND GERIATRICS OF MIDDLE GEORGIA L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA O REAS (BILLING MANAGER)
(478) 923-2678
Entity
Organization
Contact information
Practice address
1743 WATSON BLVD STE B, WARNER ROBINS, GA 31093-3622
(478) 929-2909
Mailing address
PO BOX 8537, WARNER ROBINS, GA 31095-8537
(478) 923-2678
(478) 929-4251
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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