| Georgia Medical Group, LLC | |
|
2410 Ingleside Ave Macon GA 31204-2036 | |
| (478) 345-8056 | |
| Not Available |
| Full Name | Georgia Medical Group, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 2410 Ingleside Ave, Macon, Georgia |
| Authorized Official Name and Position | Stephen Barry (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4783458056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Medical Group, LLC 2410 Ingleside Ave Macon GA 31204-2036 Ph: (478) 345-8056 | Georgia Medical Group, LLC 2410 Ingleside Ave Macon GA 31204-2036 Ph: (478) 345-8056 |
| NPI Number | 1518476738 |
|---|---|
| Provider Enumeration Date | 09/20/2017 |
| Last Update Date | 09/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518476738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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