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Physician Consultants Of Georgia Interventional Llc
Medical Specialty Clinic/Center in Macon, Georgia
NPI 1316389836

Physician Consultants Of Georgia Interventional Llc is a Medical Specialty Clinic/Center based in Macon, GA and is specialized in Medical Specialty. Physician Consultants Of Georgia Interventional Llc practices in Macon, GA. The NPI Number for Physician Consultants Of Georgia Interventional Llc is 1316389836 and holds a License No. 055819 (Georgia).

The current practice location address for Physician Consultants Of Georgia Interventional Llc is 1445 Georgia Ave, Macon, GA and can be reached out via phone at 478-250-1328.

Location: 1445 Georgia Ave, Macon, GA, 31208-4461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316389836
Provider Name
Physician Consultants Of Georgia Interventional Llc
Credential
Provider Entity Type
Organization
Address
1445 Georgia Ave, Macon, GA, 31208-4461
Phone Number
478-250-1328
Fax Number
Provider Enumeration Date
07/25/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003124971A 05 GA
institution
Provider Business Practice Location Address Details
Address
1445 Georgia Ave
City
Macon
State
Georgia
Zip
31201-7610
Phone Number
478-250-1328
Fax Number
person
Provider Business Mailing Address Details
Address
1445 Georgia Ave
City
Macon
State
Georgia
Zip
31201-7610
Phone Number
478-250-1328
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
055819 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
055819 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
055819 (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).
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