# MIDDLE GEORGIA PEDIATRICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073885828
- **Authorized official:** DR. STANLEY SETH BUSH M.D. (PROPRIETOR)
- **Authorized official phone:** (478) 741-7371

## Contact information

- **Practice address:** 1508 HARDEMAN AVE STE B, MACON, GA 31201-1471
- **Practice address phone:** (478) 741-7371
- **Practice address fax:** (478) 741-7372
- **Mailing address:** 1508 HARDEMAN AVE STE B, MACON, GA 31201-1471
- **Mailing address phone:** (478) 741-7371
- **Mailing address fax:** (478) 741-7372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 048846 | GA | Yes |

## Other

- **Enumeration date:** 02/08/2012
- **Last updated:** 02/08/2012