Provider Demographics
NPI:1427034818
Name:SAYMEH, LAYTH A (MD)
Entity Type:Individual
Prefix:
First Name:LAYTH
Middle Name:A
Last Name:SAYMEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:478-333-3711
Mailing Address - Fax:478-333-6681
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:478-333-3711
Practice Address - Fax:478-333-6681
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA067436207RG0100X
NY254843207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03143780Medicaid
NY03143780Medicaid
NYP00789908Medicare PIN