Iyad Al Husein, MD
Family Medicine in Warner Robins, GA. Individual provider (NPI-1).
NPI number1912984808
StatusActive
Last updated in NPPESAug 5, 2024
Details
- NPI
- 1912984808
- Entity type
- Individual (NPI-1)
- Name
- Iyad Al Husein
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 30, 2005
- Certification date
- Aug 5, 2024
- Last updated
- Aug 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 055080 | GA | Yes |
| 207Q00000X | Family Medicine | 037371 | CT | |
| 207QG0300X | Family Medicine, Geriatric Medicine | 055080 | GA | |
| 207QG0300X | Family Medicine, Geriatric Medicine | 037371 | CT |
Practice location
301 Osigian BlvdWarner Robins, GA 31088-8953
Phone 478-971-2130 · Fax 478-971-2132
Mailing address
301 Osigian BlvdWarner Robins, GA 31088-8953
Phone 478-971-2130 · Fax 478-971-2132
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