Macon Cardiovascular Institute

NPI #1104866599 in Macon, Georgia

Provider Information

NPI Number: 1104866599
Entity Type: Organization
Organization Name: Macon Cardiovascular Institute
Primary Specialty: Surgery
Enumeration Date: Jun 7, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 575 1ST ST
City: Macon
State: Georgia
ZIP Code: 31201-2825
Phone: (478) 743-9762

Authorized Official

Name: MRS. LUCY F DERMO
Title: BUSINESS MANAGER
Phone: (478) 743-9762

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery)	208G00000X
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X
Surgery	208600000X	Primary

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