Lillette a Intaphan MD LLC

NPI #1649414657 in Macon, Georgia

Provider Information

NPI Number
1649414657
Entity Type
Organization
Organization Name
Lillette a Intaphan MD LLC
Primary Specialty
Internal Medicine
Enumeration Date
Apr 22, 2009
Last Updated
Oct 19, 2009

Practice Location

Address
432 POPLAR ST
Address 2
SUITE B
City
Macon
State
Georgia
ZIP Code
31201-3336
Phone
(478) 475-1299

Authorized Official

Name
LILLETTE A INTAPHAN
Title
MDC
Phone
(478) 475-1299

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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