Provider Demographics
NPI:1124386479
Name:UNITED MEDICAL SPECIALIST, LLC
Entity Type:Organization
Organization Name:UNITED MEDICAL SPECIALIST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAYTH
Authorized Official - Middle Name:A
Authorized Official - Last Name:SAYMEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:478-225-2949
Mailing Address - Street 1:203 TOMMY STALNAKER DR
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-8960
Mailing Address - Country:US
Mailing Address - Phone:478-225-2949
Mailing Address - Fax:478-293-1958
Practice Address - Street 1:203 TOMMY STALNAKER DR
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-8960
Practice Address - Country:US
Practice Address - Phone:478-225-2949
Practice Address - Fax:478-293-1958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-24
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty