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Organization

MIDDLE GEORGIA INTERNAL MEDICINE & KIDNEY DISEASES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANET A ALLEN-NWOSU (MANAGER)
(478) 745-8309
Entity
Organization

Contact information

Practice address
1122 GRAY HWY, SUITE 4, MACON, GA 31211-1869
(478) 745-8309
(478) 745-8364
Mailing address
1122 GRAY HWY, SUITE 4, MACON, GA 31211-1869
(478) 745-8309
(478) 745-8364

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
33504
GA

Other

Enumeration date
02/14/2012
Last updated
02/27/2013
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