# SOUTH MACON FAMILY PHYSICIANS CLINIC

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

## Provider details

- **NPI number:** 1972785475
- **Authorized official:** DR. WILLIAM P BROOKS M.D. (PRESIDENT)
- **Authorized official phone:** (478) 781-2992

## Contact information

- **Practice address:** 3741 HOUSTON AVE, MACON, GA 31206-2415
- **Practice address phone:** (478) 781-2992
- **Practice address fax:** (478) 781-7152
- **Mailing address:** 3741 HOUSTON AVE, MACON, GA 31206-2415
- **Mailing address phone:** (478) 781-2992
- **Mailing address fax:** (478) 781-7152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 11935 | GA | Yes |

## Other

- **Enumeration date:** 11/27/2007
- **Last updated:** 12/05/2007