Individual
MICHAEL KORNEGAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6020 HARRISON RD, MACON, GA 31206-4742
(478) 785-2240
Mailing address
6020 HARRISON RD, MACON, GA 31206-4742
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1626
GA
156FX1800X
Optician
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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