Community Primary Care of Georgia LLC

NPI #1861744179 in Macon, Georgia

Provider Information

NPI Number
1861744179
Entity Type
Organization
Organization Name
Community Primary Care of Georgia LLC
Primary Specialty
Family Medicine - Geriatric Medicine
Enumeration Date
Oct 10, 2012
Last Updated
Oct 10, 2012

Practice Location

Address
343 PLANTATION WAY
City
Macon
State
Georgia
ZIP Code
31210-9286
Phone
(478) 405-9000

Authorized Official

Name
CHARLES KEMP
Title
VICE PRESIDENT OF OPERATIONS
Phone
(404) 401-0225

Specialties & Taxonomy Codes

Specialty
Family Medicine - Geriatric MedicineGeriatric Medicine

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