Organization
MERCER MEDICINE, LLC
Active
Organization
MERCER MEDICINE, LLC
Active
Parent organization
THE CORPORATION OF MERCER UNIVERSITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CORPORATION OF MERCER UNIVERSITY
Authorized official
WILLIAM T BARNES (DIRECTOR OF OPERATIONS)
(478) 301-4111
Entity
Organization
Contact information
Practice address
250 MARTIN LUTHER KING JR BLVD, MACON, GA 31201
(478) 301-2362
(478) 301-2272
Mailing address
1550 COLLEGE ST, SUITE A, MACON, GA 31207-1500
(478) 301-2362
(478) 301-2272
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TF0000X
Family Psychologist
—
—
104100000X
Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
Other
Enumeration date
11/08/2006
Last updated
03/07/2014
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