# MACON ELECTROPHYSIOLOGY ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GEORGIA ARRHYTHMIA CONSULTANTS & RESEARCH INSTITUTE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306923495
- **Authorized official:** KINDLE BUSBEE (ADMIN)
- **Authorized official phone:** (478) 755-1560

## Contact information

- **Practice address:** 639 HEMLOCK STR, STE 100, MACON, GA 31201
- **Practice address phone:** (478) 755-1560
- **Practice address fax:** (478) 755-1562
- **Mailing address:** 639 HEMLOCK STR, STE 100, MACON, GA 31201
- **Mailing address phone:** (478) 755-1560
- **Mailing address fax:** (478) 755-1562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 042444 | GA | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 052807 | GA | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 061887 | GA | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | — |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 12/19/2019