# MACON OCCUPATIONAL MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MACON OCCUPATIONAL MEDICINE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255834321
- **Legal business name:** MACON OCCUPATIONAL MEDICINE
- **Authorized official:** LEONARD BEVILL (PRESIDENT/CEO)
- **Authorized official phone:** (478) 751-2900

## Contact information

- **Practice address:** 821 N COBB ST, MILLEDGEVILLE, GA 31061-2343
- **Practice address phone:** (478) 454-3505
- **Mailing address:** 821 N COBB ST, MILLEDGEVILLE, GA 31061-2343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/14/2018
- **Last updated:** 03/14/2018