# MEDPLUS IMMEDIATE CARE

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

## Provider details

- **NPI number:** 1164198461
- **Authorized official:** JOHN W SOUZA MD (OWNER)
- **Authorized official phone:** (478) 272-8140

## Contact information

- **Practice address:** 5591 THOMASTON ROAD, SUITE A600, MACON, GA 31220
- **Practice address phone:** (478) 272-8140
- **Practice address fax:** (478) 277-0276
- **Mailing address:** 1101 HILLCREST PKWY STE L, DUBLIN, GA 31021-3581
- **Mailing address phone:** (478) 272-8140
- **Mailing address fax:** (478) 277-0276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2021
- **Last updated:** 08/18/2021