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Individual

IYAD B BARAKAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
105 TOMMY STALNAKER DR, SUITE 1, WARNER ROBINS, GA 31088-8956
(478) 333-3612
(478) 333-3631
Mailing address
105 TOMMY STALNAKER DR, SUITE 1, WARNER ROBINS, GA 31088-8956
(478) 333-3612
(478) 333-3631

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
050787
GA
207RN0300X
Nephrology Physician
Primary
050787
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
148116723AB
GA
05
148116723N
GA
05
148116723O
GA
05
148116723Q
GA
Enumeration date
05/26/2006
Last updated
03/26/2015
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