Organization
MIDDLE GEORGIA PULMONARY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYA HOSEIN MD (OWNER/PHYSICIAN)
(317) 748-3685
Entity
Organization
Contact information
Practice address
2024 WATSON BLVD, BLDG# 1, WARNER ROBINS, GA 31093-3624
(478) 449-5030
(478) 293-1559
Mailing address
2024 WATSON BLVD, BLDG# 1, WARNER ROBINS, GA 31093-3624
(404) 600-1215
(478) 293-1559
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
063470
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
869760044A
—
GA
Enumeration date
04/24/2014
Last updated
06/10/2019
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