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General NPI Number Information
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NPI Number | 1811543184
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Entity Type | Organization
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Legal Business Name | MIDDLE GEORGIA SURGICAL INSTITUTE
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Dates
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Enumeration Date | 08/13/2019
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Last Update Date | 02/15/2021
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Provider Practice Location Address
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Address Line | 504 OSIGIAN BLVD STE 1
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City | WARNER ROBINS
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State | GA
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Zip | 31088-8013
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Country | US
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Telephone | 478-219-7396
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Fax | 949-404-8490
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Provider Business Mailing Address
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Address Line | 504 OSIGIAN BLVD STE 1
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City | WARNER ROBINS
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State | GA
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Zip | 31088-8013
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Country | US
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Telephone | 478-219-7396
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Fax | 949-404-8490
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Authorized Official
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Title or Position | OWNER
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Name | PATRICK NARTEY NARH-MARTEY
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Credential | MD
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Telephone | 478-219-7396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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