Healthcare Provider Details

I. General information

NPI: 1487578134
Provider Name (Legal Business Name): SAIF MAJID SHIBIL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 N. HOUSTON ROAD, SUITE 140-E
WARNER ROBINS GA
31093
US

IV. Provider business mailing address

233 N. HOUSTON ROAD, SUITE 140-E
WARNER ROBINS GA
31093
US

V. Phone/Fax

Practice location:
  • Phone: 478-975-6880
  • Fax: 478-975-6869
Mailing address:
  • Phone: 478-975-6880
  • Fax: 478-975-6869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number114046
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: