| Catherine Bomberger, Md, Llc | |
|
310 Hospital Dr Bldg B, Suite 315 Macon GA 31217-3895 | |
| (478) 464-1933 | |
| (478) 464-5094 |
| Full Name | Catherine Bomberger, Md, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 310 Hospital Dr, Macon, Georgia |
| Authorized Official Name and Position | Catherine Bomberger (OWNER) |
| Authorized Official Contact | 4784641933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine Bomberger, Md, Llc 310 Hospital Dr Bldg B, Suite 315 Macon GA 31217-3895 Ph: (478) 464-1933 | Catherine Bomberger, Md, Llc 310 Hospital Dr Bldg B, Suite 315 Macon GA 31217-3895 Ph: (478) 464-1933 |
| NPI Number | 1194077339 |
|---|---|
| Provider Enumeration Date | 10/11/2012 |
| Last Update Date | 10/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194077339 | NPI | - | NPPES |
| 00875476A | Medicaid | GA | |
| 11BDRTP | Other | GA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 048188 (Georgia) | Primary |
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