Palmyra Surgical, LLC

NPI #1588868376 in Macon, Georgia

Provider Information

NPI Number: 1588868376
Entity Type: Organization
Organization Name: Palmyra Surgical, LLC
Primary Specialty: Surgery
Enumeration Date: Jun 13, 2007
Last Updated: Sep 25, 2023

Practice Location

Address: 420 CHARTER BLVD STE 103
City: Macon
State: Georgia
ZIP Code: 31210-0717
Phone: (478) 471-8484

Authorized Official

Name: DR. VITO JOHN BAGNATO, M.D.
Title: PRESIDENT
Phone: (478) 471-8484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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