Pediatric Care of Macon, LLC

NPI #1760636575 in Macon, Georgia

Provider Information

NPI Number: 1760636575
Entity Type: Organization
Organization Name: Pediatric Care of Macon, LLC
Primary Specialty: Pediatrics
Enumeration Date: Nov 6, 2008
Last Updated: Nov 6, 2008

Practice Location

Address: 3951 RIDGE AVE
Address 2: SUITE A
City: Macon
State: Georgia
ZIP Code: 31210-5050
Phone: (478) 475-1006

Authorized Official

Name: MRS. LEIGH HOWARD MCDANIEL
Title: PRACTICE MANAGER
Phone: (478) 475-1006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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