MACON MEDICAL GROUP PC NPI 1912914847

NPI Information

MACON MEDICAL GROUP PC is a nephrology internal medicine in Macon, GA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. MACON MEDICAL GROUP PC NPI is 1912914847. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

640 MARTIN LUTHER KING JR BLVD
SUITE 200
MACON, GA
ZIP 31201-206
Phone: (478) 745-5455
Fax: (478) 745-2915

The provider's authorized official is Ludwig V. Cavaliere .
The authorized official title is Physician/co-owner and has the following contact phone number (478) 745-5455.

The CLIA number assigned to this NPI record is 11D0264059 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 5/4/2009.

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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