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Organization
WILLIAM T. MAC NEW, JR. MD, PC
Active
Organization
WILLIAM T. MAC NEW, JR. MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM T MAC NEW JR. M.D. (PHYSICIAN)
(770) 867-4146
Entity
Organization
Contact information
Practice address
314 N BROAD ST, SUITE 250, WINDER, GA 30680-2191
(770) 867-4146
Mailing address
314 N BROAD ST, SUITE 250, WINDER, GA 30680-2191
(770) 867-4146
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21755
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000253756A
—
GA
Enumeration date
06/25/2010
Last updated
06/25/2010
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