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NPI Code Detail

MEDICARE: WARNER ROBINS MEDICAL CLINIC, PC

MEDICARE: WARNER ROBINS MEDICAL CLINIC, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician049458GA
2207R00000XInternal Medicine Physician47262GA

General Provider Information

NPI Number : 1225372329
Entity Type Code : Organization
Provider Name (Legal Business Name) : WARNER ROBINS MEDICAL CLINIC, PC
Provider Business Mailing Address
First Line : 623 S HOUSTON LAKE RD
Second Line : SUITE 500
City : WARNER ROBINS
State : GA
Zip : 31088-9093
Country : US
Telephone Number : 478-333-6977
Fax Number : 478-333-6973
Provider Business Practice Location Address
First Line : 623 S HOUSTON LAKE RD
Second Line : SUITE 500
City : WARNER ROBINS
State : GA
Zip : 31088-9093
Country : US
Telephone Number : 478-333-6977
Fax Number : 478-333-6973
Authorized Official
Title or Position : PHYSICIAN/OWNER
Name : GAYATRI KAMAT
Credential : MD
Telephone Number : 478-333-6977
Provider Enumeration Date : 11/15/2012
Last Update Date : 01/30/2013

Similar Medicare Providers

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Practice Location Address:
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WARNER ROBINS, GA
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Practice Location Address:
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WARNER ROBINS, GA
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1467492785 — DR. CHARLES S EDENFIELD M.D.
Practice Location Address:
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1588606701 — DR. RAVINDRAPRASAD J SHEKARAPPA M.D.
Practice Location Address:
623 S HOUSTON LAKE RD , SUITE 500
WARNER ROBINS, GA
31088-9093
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Practice Fax: 478-333-6973
1134215072 — GAYATRI KAMAT M.D.
Practice Location Address:
623 S HOUSTON LAKE RD , SUITE 500
WARNER ROBINS, GA
31088-9093
Practice Phone: 478-333-6977
Practice Fax: 478-333-6973

Directions to “WARNER ROBINS MEDICAL CLINIC, PC ” Practice Location

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