Mac - Macon Road LLC

NPI #1053599043 in Columbus, Georgia

Provider Information

NPI Number
1053599043
Entity Type
Organization
Organization Name
Mac - Macon Road LLC
Subpart
Yes (part of a larger organization)
Parent Organization
COLUMBUS CLINIC, P.C.
Primary Specialty
Clinic/Center
Enumeration Date
Feb 1, 2008
Last Updated
Oct 7, 2008

Practice Location

Address
3465 MACON RD STE D
State
Georgia
ZIP Code
31907-2582
Phone
(706) 243-3051

Authorized Official

Name
ROBERT O'NEIL SNODDY, MD
Title
MEDICAL DIRECTOR
Phone
(706) 243-3051

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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