Community Primary Care of Georgia LLC

NPI #1447501689 in Macon, Georgia

Provider Information

NPI Number
1447501689
Entity Type
Organization
Organization Name
Community Primary Care of Georgia LLC
Primary Specialty
Family Medicine - Geriatric Medicine
Enumeration Date
Sep 27, 2012
Last Updated
Sep 27, 2012

Practice Location

Address
529 BOLINGREEN DR
City
Macon
State
Georgia
ZIP Code
31210-5303
Phone
(478) 477-1720

Authorized Official

Name
CHARLES KEMP
Title
VICE PRESIDENT OF OPERATIONS
Phone
(404) 401-0225

Specialties & Taxonomy Codes

Specialty
Family Medicine - Geriatric MedicineGeriatric Medicine

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