Mark G Boddy

NPI #1356518682 in Macon, Georgia

Provider Information

NPI Number: 1356518682
Entity Type: Organization
Organization Name: Mark G Boddy
Primary Specialty: Specialist
Enumeration Date: May 15, 2008
Last Updated: Jun 9, 2008

Practice Location

Address: 840 PINE ST
Address 2: SUITE 990
City: Macon
State: Georgia
ZIP Code: 31201-2100
Phone: (478) 738-0404

Authorized Official

Name: REGINA KIRKLAND
Title: OFFICE MANAGER
Phone: (478) 738-0404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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