Children's Neurology Ctr Macon, Llc | |
840 Pine St Ste 970 Macon GA 31201-2100 | |
(478) 750-8880 | |
(478) 750-8860 |
Full Name | Children's Neurology Ctr Macon, Llc |
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Speciality | Psychiatry & Neurology |
Location | 840 Pine St, Macon, Georgia |
Authorized Official Name and Position | Joseph Trasmonte (PROPRIETOR) |
Authorized Official Contact | 4787508880 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Children's Neurology Ctr Macon, Llc 840 Pine St Suite 970 Macon GA 31201-2100 Ph: (478) 750-8880 | Children's Neurology Ctr Macon, Llc 840 Pine St Ste 970 Macon GA 31201-2100 Ph: (478) 750-8880 |
NPI Number | 1932485125 |
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Provider Enumeration Date | 11/01/2011 |
Last Update Date | 02/01/2012 |
Medicare PECOS PAC ID | 3476514423 |
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Medicare Enrollment ID | O20041022000453 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932485125 | NPI | - | NPPES |
706246275A | Medicaid | GA | |
000755917E | Medicaid | GA | |
706246275B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 44127 (Georgia) | Primary |
Provider Name | Joseph M Trasmonte |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194708487 PECOS PAC ID: 1850353426 Enrollment ID: I20041102000374 |
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Ste. A Emery Hwy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 217a Emery Hwy, Macon, GA 31217 Phone: 478-751-4519 | |
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Inner-connect Counseling, Consulting & Education Svc., Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2484 Ingleside Ave, Bldg. B, Ste. 102c, Macon, GA 31204 Phone: 478-361-0033 | |
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