| Infectious Disease Clinic Llc | |
|
104 Borders Way Ste 400 Warner Robins GA 31088-8967 | |
| (478) 333-2622 | |
| Not Available |
| Full Name | Infectious Disease Clinic Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 104 Borders Way Ste 400, Warner Robins, Georgia |
| Authorized Official Name and Position | Ayman Rihawi (OWNER) |
| Authorized Official Contact | 4782842508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Clinic Llc Po Box 14485 Macon GA 31203-4485 Ph: (478) 284-2508 | Infectious Disease Clinic Llc 104 Borders Way Ste 400 Warner Robins GA 31088-8967 Ph: (478) 333-2622 |
| NPI Number | 1134566367 |
|---|---|
| Provider Enumeration Date | 05/29/2013 |
| Last Update Date | 10/24/2014 |
| Medicare PECOS PAC ID | 0345481032 |
|---|---|
| Medicare Enrollment ID | O20130723000203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134566367 | NPI | - | NPPES |
| Provider Name | Ayman Rihawi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326097387 PECOS PAC ID: 8426004375 Enrollment ID: I20050324000082 |
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