# NEOCARE OF CENTRAL GEORGIA, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Care of Middle Georgia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053627703
- **Authorized official:** MRS. IRENE HO PA-C, MBA (OFFICE MANAGER)
- **Authorized official phone:** (478) 471-0273

## Contact information

- **Practice address:** 3203 VINEVILLE AVE, MACON, GA 31204-2323
- **Practice address phone:** (478) 471-0273
- **Practice address fax:** (478) 471-1471
- **Mailing address:** 3203 VINEVILLE AVE STE A, MACON, GA 31204-2323
- **Mailing address phone:** (478) 471-0273
- **Mailing address fax:** (478) 471-1471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 076861 | GA | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 08/19/2010
- **Last updated:** 03/17/2018
