Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

NPI 1306790118

Organization Diagnostic Radiology Physician · NPI 1306790118

NPI 1306790118 is a Diagnostic Radiology Physician in Macon, Georgia. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

555 1st St
Macon, GA 31201-2825
Phone: (478) 744-9603
Fax: (478) 744-9603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1306790118
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMacon Lung Center PC
Authorized official Iyabo Muraina — Business Manager · (478) 744-9603
NPI enumeratedFebruary 26, 2026
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026
Mailing address555 1st St, Macon, GA 31201-2825

Other providers in Macon