Organization
VILLAGE MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHRIAR SEDGHI MD (OWNER)
(478) 845-7462
Entity
Organization
Contact information
Practice address
2410 INGLESIDE AVE, MACON, GA 31204-2036
(478) 845-7462
Mailing address
PO BOX 26040, MACON, GA 31221-6040
(478) 475-1299
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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