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Macon Medical Clinic, Llc.
Primary Care Clinic/Center in Macon, Georgia
NPI 1063823482

Macon Medical Clinic, Llc. is a Primary Care Clinic/Center based in Macon, GA and is specialized in Primary Care. Macon Medical Clinic, Llc. practices in Macon, GA. The NPI Number for Macon Medical Clinic, Llc. is 1063823482 and holds a License No. 044065 (Georgia).

The current practice location address for Macon Medical Clinic, Llc. is 3350 Northside Dr, Macon, GA and can be reached out via phone at 478-405-2121 and via fax at 478-405-0114.

Location: 3350 Northside Dr, Macon, GA, 31210-2504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063823482
Provider Name
Macon Medical Clinic, Llc.
Credential
Provider Entity Type
Organization
Address
3350 Northside Dr, Macon, GA, 31210-2504
Phone Number
478-405-2121
Fax Number
478-405-0114
Provider Enumeration Date
05/20/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3350 Northside Dr
City
Macon
State
Georgia
Zip
31210-2504
Phone Number
478-405-2121
Fax Number
478-405-0114
person
Provider Business Mailing Address Details
Address
3350 Northside Dr
City
Macon
State
Georgia
Zip
31210-2504
Phone Number
478-405-2121
Fax Number
478-405-0114
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
044065 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
044065 (Georgia)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
044065 (Georgia)
Definition
Definition to come...
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