NPI 1295412054 · live from the CMS NPI Registry
Tareq Alhonaiti
Physician Assistant in Warner Robins, GA. National Provider Identifier 1295412054, active.
NPI record
| NPI | 1295412054 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1601 Watson Blvd, Warner Robins, GA 31093 |
| Practice phone | 478-922-4281 |
| Mailing address | 111 Reflection Dr, Bonaire, GA 31005 |
| Enumerated | July 3, 2023 |
| Last updated | July 3, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 11706 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.