Organization
MIDDLE GEORGIA NEUROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL QADIR MD (OWNER/PHYSICIAN)
(478) 923-3535
Entity
Organization
Contact information
Practice address
1101 RUSSELL PKWY, WARNER ROBINS, GA 31088-5537
(478) 923-3535
(478) 923-3573
Mailing address
1101 RUSSELL PKWY, WARNER ROBINS, GA 31088-5537
(478) 923-3535
(478) 923-3573
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
041352
GA
Other
Enumeration date
09/28/2007
Last updated
04/30/2015
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