MACON FAMILY HEALTH CENTER INC NPI 1952622441

NPI Information

MACON FAMILY HEALTH CENTER INC is a family medicine in Macon, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MACON FAMILY HEALTH CENTER INC NPI is 1952622441. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2040 BOWMAN PARK
SUITE A
MACON, GA
ZIP 31210-782
Phone: (478) 755-8400
Fax: (478) 755-1073

The provider's authorized official is Cornell Peters .
The authorized official title is Doctor and has the following contact phone number (478) 755-8400.

The CLIA number assigned to this NPI record is 11D0998605 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2010 and was last updated on 1/10/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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