Basic Information
| Provider Information | |||||||||
| NPI: | 1518971944 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MUNIR | ||||||||
| FirstName: | MUBASHAR | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 226 EAST COLLEGE ST | ||||||||
| Address2: | SUITE B | ||||||||
| City: | GRIFFIN | ||||||||
| State: | GA | ||||||||
| PostalCode: | 302244249 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6789871490 | ||||||||
| FaxNumber: | 6789871491 | ||||||||
| Practice Location | |||||||||
| Address1: | 226 EAST COLLEGE ST | ||||||||
| Address2: | SUITE B | ||||||||
| City: | GRIFFIN | ||||||||
| State: | GA | ||||||||
| PostalCode: | 302244249 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6789871490 | ||||||||
| FaxNumber: | 6789871491 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/28/2006 | ||||||||
| LastUpdateDate: | 09/25/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | 065666 | GA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
No ID Information.