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3061 Houston Ave Macon GA 31206-2345 | |
(478) 787-4266 | |
(478) 787-4199 |
Full Name | |
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Speciality | Clinic/Center |
Location | 3061 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 |
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Po Box 4363 Macon GA 31208-4363 Ph: (478) 787-4266 | 3061 Houston Ave Macon GA 31206-2345 Ph: (478) 787-4266 |
NPI Number | 1083145981 |
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Provider Enumeration Date | 03/22/2017 |
Last Update Date | 12/16/2024 |
Medicare PECOS PAC ID | 6103907316 |
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Medicare Enrollment ID | O20171017002363 |
Identifier | Type | State | Issuer |
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1083145981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 1001878 (Georgia) | Primary |
First Choice Primary Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 171 Emery Hwy, Macon, GA 31217 Phone: 478-787-4266 | |
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 | |
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 | |