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General NPI Number Information
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NPI Number | 1124386479
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Entity Type | Organization
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Legal Business Name | UNITED MEDICAL SPECIALIST, LLC
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Dates
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Enumeration Date | 04/24/2012
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Last Update Date | 06/23/2014
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Provider Practice Location Address
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Address Line | 203 TOMMY STALNAKER DR
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City | WARNER ROBINS
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State | GA
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Zip | 31088-8960
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Country | US
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Telephone | 478-225-2949
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Fax | 478-293-1958
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Provider Business Mailing Address
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Address Line | 203 TOMMY STALNAKER DR
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City | WARNER ROBINS
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State | GA
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Zip | 31088-8960
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Country | US
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Telephone | 478-225-2949
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Fax | 478-293-1958
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Authorized Official
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Title or Position | OWNER
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Name | LAYTH A SAYMEH
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Credential | MD
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Telephone | 478-225-2949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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