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Organization
PEDIATRIC CARE OF MACON, LLC
Active
Organization
PEDIATRIC CARE OF MACON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEIGH HOWARD MCDANIEL (PRACTICE MANAGER)
(478) 475-1006
Entity
Organization
Contact information
Practice address
3951 RIDGE AVE, SUITE A, MACON, GA 31210-5050
(478) 475-1006
(478) 475-0787
Mailing address
3951 RIDGE AVE, SUITE A, MACON, GA 31210-5050
(478) 475-1006
(478) 475-0787
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
020359
GA
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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