Organization
MACON COUNTY MEDICAL CENTER, INC
Active
Other names
Flint River Clinic at Butler
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURIE HAIR CFO (CHIEF FINANCIAL OFFICER)
(478) 472-3244
Entity
Organization
Contact information
Practice address
80 WEST MAIN STREET, STE B, BUTLER, GA 31006-5156
(478) 862-3879
Mailing address
80 WEST MAIN ST., STE B, BUTLER, GA 31006-5156
(478) 862-3879
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087221830A
—
GA
Enumeration date
01/16/2007
Last updated
07/11/2008
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