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MUNSAYAC HEALTH LLC NPI 1376068064


NPI Information

NPI: 1376068064
Provider Name: MUNSAYAC HEALTH LLC

Doing Business As: MUNSAYAC HEALTH LLC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
22 CROSS ST
HAZLEHURST, GA
ZIP 31539
Phone: (912) 375-4884
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MUNSAYAC HEALTH LLC is a family medicine in Hazlehurst, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MUNSAYAC HEALTH LLC NPI is 1376068064. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Munsayac Health Llc.

The provider's business location address is:

22 CROSS ST
HAZLEHURST, GA
ZIP 31539-426
Phone: (912) 375-4884
Fax: (912) 375-4881

The provider's authorized official is Kirk Alessandro Munsayac .
The authorized official title is Physician and has the following contact phone number (912) 375-4884.

The enumeration date for this NPI number is 8/3/2017 and was last updated on 9/13/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine68251GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PENDINGMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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