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Organization

MACON LUNG CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OYEKUMLE ISMAIL MURAINA MD (MEDICAL DOCTOR)
(478) 744-9603
Entity
Organization

Contact information

Practice address
560 FIRST STREET, MACON, GA 31201
(478) 744-9603
(478) 744-9552
Mailing address
560 1ST ST, MACON, GA 31201-2824
(478) 744-9603
(478) 744-9552

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
246308625A
GA
Enumeration date
07/03/2006
Last updated
11/24/2015
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