Organization
MAGNA INTENSIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUFID A OTHMAN (PRESIDENT)
(478) 741-7241
Entity
Organization
Contact information
Practice address
657 HEMLOCK ST, STE 220, MACON, GA 31201-8329
(478) 741-7241
(478) 745-8932
Mailing address
657 HEMLOCK ST, STE 220, MACON, GA 31201-8329
(478) 741-7241
(478) 745-8932
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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