Mcc Internal Medicine 2, LLC

NPI #1366899189 in Macon, Georgia

Provider Information

NPI Number: 1366899189
Entity Type: Organization
Organization Name: Mcc Internal Medicine 2, LLC
Primary Specialty: Specialist
Enumeration Date: May 23, 2016
Last Updated: May 23, 2016

Practice Location

Address: 6501 PEAKE RD
Address 2: SUITE 100
City: Macon
State: Georgia
ZIP Code: 31210-8042
Phone: (478) 273-2662

Authorized Official

Name: MRS. SHELLEY DEPP
Title: PAYER RELATIONS LIAISON
Phone: (770) 579-2626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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