Maiki, Celestine O
Maiki, Celestine O is an individual health care provider with primary practice located at 7823 Spivey Station Blvd Ste 100 , Jonesboro GA 30236-2886. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Maiki, Celestine O can be contacted via phone (404) 251-2680.Contact Information
Primary practice address
7823 Spivey Station Blvd Ste 100
Jonesboro GA 30236-2886
Phone: (404) 251-2680
Fax: (404) 252-2688
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 052283 | Georgia |
Profile Details
NPI number | 1649278532 |
---|---|
LBN Legal business name | Maiki, Celestine O |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 13th, 2005 |
Last updated | Aug 11th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649278532 | NPPES |
Georgia | MEDICAID | 199807383A | |
Georgia | Other | 841642192 |
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