Provider Demographics
NPI:1811543184
Name:MIDDLE GEORGIA SURGICAL INSTITUTE
Entity Type:Organization
Organization Name:MIDDLE GEORGIA SURGICAL INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:NARTEY
Authorized Official - Last Name:NARH-MARTEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:478-219-7396
Mailing Address - Street 1:504 OSIGIAN BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-8013
Mailing Address - Country:US
Mailing Address - Phone:478-219-7396
Mailing Address - Fax:949-404-8490
Practice Address - Street 1:504 OSIGIAN BLVD STE 1
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-8013
Practice Address - Country:US
Practice Address - Phone:478-219-7396
Practice Address - Fax:949-404-8490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-13
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty