Individual
DR. MICHAEL SAIYASOMBAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(229) 985-3420
Mailing address
PO BOX 2876, MOULTRIE, GA 31776-2876
(229) 985-3420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
91860
GA
Other
Enumeration date
01/29/2008
Last updated
11/05/2025
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