| Davey R. Deal, Jr., M.d., Llc | |
|
310 Hospital Dr Ste 305 Macon GA 31217-8030 | |
| (478) 338-9200 | |
| Not Available |
| Full Name | Davey R. Deal, Jr., M.d., Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 310 Hospital Dr Ste 305, Macon, Georgia |
| Authorized Official Name and Position | Davey Deal (OWNER) |
| Authorized Official Contact | 4783389200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Davey R. Deal, Jr., M.d., Llc 310 Hospital Dr Ste 305 Macon GA 31217-8030 Ph: (478) 338-9200 | Davey R. Deal, Jr., M.d., Llc 310 Hospital Dr Ste 305 Macon GA 31217-8030 Ph: (478) 338-9200 |
| NPI Number | 1114401486 |
|---|---|
| Provider Enumeration Date | 09/21/2018 |
| Last Update Date | 09/21/2018 |
| Medicare PECOS PAC ID | 2163766007 |
|---|---|
| Medicare Enrollment ID | O20181204003113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114401486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Davey R Deal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538131313 PECOS PAC ID: 3173429727 Enrollment ID: I20031212000311 |
| Provider Name | Angela Polk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083135271 PECOS PAC ID: 4981950490 Enrollment ID: I20180712002520 |
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Internal Medicine Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 Hospital Dr, Bldg C, Ste 200, Macon, GA 31217 Phone: 478-745-1191 Fax: 478-750-4669 | |
Grace Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Charter Blvd, Suite 304, Macon, GA 31210 Phone: 478-405-0280 | |
Atlantic Hospitalist Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 1st St, Macon, GA 31201 Phone: 478-744-9603 Fax: 478-744-9552 | |
Ketamine Centers Of Central Georgia Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3312 Northside Dr Ste D235, Macon, GA 31210 Phone: 478-201-9220 Fax: 478-203-9322 | |
Family Care Of Middle Georgia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3203 Vineville Ave, Macon, GA 31204 Phone: 478-471-0273 Fax: 478-471-1471 |