Organization
PHYSICIANS CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WUOLUKKA (CEO)
(478) 935-9221
Entity
Organization
Contact information
Practice address
5569 HOUSTON RD, MACON, GA 31216-5709
(478) 935-9221
Mailing address
321 MCCALLUM PL, LIZELLA, GA 31052-3814
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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