| Middle Georgia Neurology, Llc | |
|
1101 Russell Pkwy Warner Robins GA 31088-5537 | |
| (478) 923-3535 | |
| (478) 923-3573 |
| Full Name | Middle Georgia Neurology, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1101 Russell Pkwy, Warner Robins, Georgia |
| Authorized Official Name and Position | Abdul Qadir (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4789233535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Middle Georgia Neurology, Llc 1101 Russell Pkwy Warner Robins GA 31088-5537 Ph: (478) 923-3535 | Middle Georgia Neurology, Llc 1101 Russell Pkwy Warner Robins GA 31088-5537 Ph: (478) 923-3535 |
| NPI Number | 1982891453 |
|---|---|
| Provider Enumeration Date | 09/28/2007 |
| Last Update Date | 04/30/2015 |
| Medicare PECOS PAC ID | 3971693706 |
|---|---|
| Medicare Enrollment ID | O20071218000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982891453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 041352 (Georgia) | Primary |
| Provider Name | Abdul Qadir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992718100 PECOS PAC ID: 6507956331 Enrollment ID: I20071218000065 |
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