Organization
MACON MEDICAL CLINIC, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD MOHABUBUR RAHMAN M.D. (PROVIDER/PHYSICIAN/OWNER)
(478) 405-2121
Entity
Organization
Contact information
Practice address
3350 NORTHSIDE DR, MACON, GA 31210-2504
(478) 405-2121
(478) 405-0114
Mailing address
3350 NORTHSIDE DR, MACON, GA 31210-2504
(478) 405-2121
(478) 405-0114
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
044065
GA
261QM2500X
Medical Specialty Clinic/Center
044065
GA
261QP2300X
Primary Care Clinic/Center
Primary
044065
GA
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us