Organization
FADOUL MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER FADOUL MD (OWNER)
(706) 612-0761
Entity
Organization
Contact information
Practice address
350 HOSPITAL DR, MACON, GA 31217-3838
(478) 318-8866
Mailing address
PO BOX 3424, EATONTON, GA 31024-3424
(706) 612-0761
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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