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Organization
MIDDLE GEORGIA PEDIATRICS
Active
Organization
MIDDLE GEORGIA PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY SETH BUSH M.D. (PROPRIETOR)
(478) 741-7371
Entity
Organization
Contact information
Practice address
1508 HARDEMAN AVE STE B, MACON, GA 31201-1471
(478) 741-7371
(478) 741-7372
Mailing address
1508 HARDEMAN AVE STE B, MACON, GA 31201-1471
(478) 741-7371
(478) 741-7372
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
048846
GA
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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