| Fcpc South Macon Family Physicians | |
|
3741 Houston Ave Macon GA 31206-2415 | |
| (478) 787-4266 | |
| (478) 787-4199 |
| Full Name | Fcpc South Macon Family Physicians |
|---|---|
| Speciality | Clinic/Center |
| Location | 3741 Houston Ave, Macon, Georgia |
| Authorized Official Name and Position | Katherine Mcleod (CEO) |
| Authorized Official Contact | 4787874266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fcpc South Macon Family Physicians 770 Walnut St Macon GA 31201-7307 Ph: (478) 787-4266 | Fcpc South Macon Family Physicians 3741 Houston Ave Macon GA 31206-2415 Ph: (478) 787-4266 |
| NPI Number | 1083145981 |
|---|---|
| Provider Enumeration Date | 03/22/2017 |
| Last Update Date | 03/22/2017 |
| Medicare PECOS PAC ID | 6103907316 |
|---|---|
| Medicare Enrollment ID | O20171017002363 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083145981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1001878 (Georgia) | Primary |
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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 | |
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