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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