Midstate Family Medicine, PC

NPI #1528186913 in Macon, Georgia

Provider Information

NPI Number: 1528186913
Entity Type: Organization
Organization Name: Midstate Family Medicine, PC
Primary Specialty: Family Medicine
Enumeration Date: Mar 26, 2007
Last Updated: Oct 18, 2009

Practice Location

Address: 2191 INGLESIDE AVE
City: Macon
State: Georgia
ZIP Code: 31204-2029
Phone: (478) 745-0095

Authorized Official

Name: DR. CAROL N PRYBY, MD
Title: PRESIDENT
Phone: (478) 745-0095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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