Macmed LLC

NPI #1417062613 in St Simons Island, Georgia

Provider Information

NPI Number: 1417062613
Entity Type: Organization
Organization Name: Macmed LLC
Primary Specialty: General Practice
Enumeration Date: Aug 20, 2006
Last Updated: Aug 29, 2012

Practice Location

Address: 2927 DEMERE RD
Address 2: ATTEN: DR ANDREW T MCRAE
City: St Simons Island
State: Georgia
ZIP Code: 31522-1620
Phone: (912) 638-1999

Authorized Official

Name: JUDY S RIVENBARK, M.D.
Title: OWNER
Phone: (850) 279-4917

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Hospitalist	208M00000X
General Practice	208D00000X	Primary

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