Individual
MACY PHILLIPS TABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
505 AMELIA AVE, BAINBRIDGE, GA 39819-4355
(229) 243-6900
(229) 243-6919
Mailing address
1500 E SHOTWELL ST, BAINBRIDGE, GA 39819-4256
(229) 246-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
95579
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
03/25/2020
Last updated
02/07/2024
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