Ketamine Centers of Central Georgia LLC

NPI #1053132308 in Macon, Georgia

Provider Information

NPI Number
1053132308
Entity Type
Organization
Organization Name
Ketamine Centers of Central Georgia LLC
Primary Specialty
Internal Medicine
Enumeration Date
Oct 21, 2024
Last Updated
Oct 21, 2024

Practice Location

Address
3312 NORTHSIDE DR STE D235
City
Macon
State
Georgia
ZIP Code
31210-0426
Phone
(478) 201-9220

Authorized Official

Name
DR. JUDAH GREENBERG, MD
Title
DOCTOR OWNER
Phone
(478) 201-9220

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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