# MACON FAMILY HEALTH CENTER INC

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

## Provider details

- **NPI number:** 1952622441
- **Authorized official:** DR. CORNELL PETERS MD (DOCTOR)
- **Authorized official phone:** (478) 755-8400

## Contact information

- **Practice address:** 2040 BOWMAN PARK, SUITE A, MACON, GA 31210-5782
- **Practice address phone:** (478) 755-8400
- **Practice address fax:** (478) 755-1073
- **Mailing address:** 2040 BOWMAN PARK, SUITE A, MACON, GA 31210-5782
- **Mailing address phone:** (478) 755-8400
- **Mailing address fax:** (478) 755-1073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/18/2010
- **Last updated:** 01/10/2016