# CENTRAL GEORGIA PEDIATRICS, INC.

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

## Provider details

- **NPI number:** 1386912319
- **Authorized official:** MRS. SUSAN OKORO (OFFICE MANAGER)
- **Authorized official phone:** (478) 746-6660

## Contact information

- **Practice address:** 844 2ND ST, MACON, GA 31201-6885
- **Practice address phone:** (478) 746-6662
- **Practice address fax:** (478) 746-8861
- **Mailing address:** 844 2ND ST, MACON, GA 31201-6885
- **Mailing address phone:** (478) 746-6662
- **Mailing address fax:** (478) 746-8861

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 039194 | GA | Yes |

## Other

- **Enumeration date:** 12/05/2011
- **Last updated:** 12/05/2011