Georgia Medical Group, LLC

NPI #1518476738 in Macon, Georgia

Provider Information

NPI Number: 1518476738
Entity Type: Organization
Organization Name: Georgia Medical Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: GEORGIA PHYSICIANS FOR ACC SOLE M
Primary Specialty: Family Medicine
Enumeration Date: Sep 20, 2017
Last Updated: Sep 20, 2017

Practice Location

Address: 2410 INGLESIDE AVE
City: Macon
State: Georgia
ZIP Code: 31204-2036
Phone: (478) 345-8056

Authorized Official

Name: STEPHEN BARRY
Title: EXECUTIVE DIRECTOR
Phone: (478) 345-8056

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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