Organization
NEOCARE OF CENTRAL GEORGIA, PC
Active
Other names
Family Care of Middle Georgia
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRENE HO PA-C, MBA (OFFICE MANAGER)
(478) 471-0273
Entity
Organization
Contact information
Practice address
3203 VINEVILLE AVE, MACON, GA 31204-2323
(478) 471-0273
(478) 471-1471
Mailing address
3203 VINEVILLE AVE STE A, MACON, GA 31204-2323
(478) 471-0273
(478) 471-1471
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
076861
GA
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000053347C
—
GA
05
—
000053347D
—
GA
05
—
000053347E
—
GA
05
—
000262996H
—
GA
05
—
000262996I
—
GA
05
—
003121342G
—
GA
05
—
003171965D
—
GA
05
—
003171965E
—
GA
05
—
003171965F
—
GA
05
—
003177670A
—
GA
05
—
003177670B
—
GA
05
—
003177670C
—
GA
Enumeration date
08/19/2010
Last updated
03/17/2018
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