Organization
MACON CARDIOVASCULAR INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCY F DERMO (BUSINESS MANAGER)
(478) 743-9762
Entity
Organization
Contact information
Practice address
575 1ST ST, MACON, GA 31201-2825
(478) 743-9762
(478) 746-6612
Mailing address
575 1ST ST, MACON, GA 31201-2825
(478) 743-9762
(478) 746-6612
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
06/07/2006
Last updated
09/11/2025
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