Organization
MOM-YKK CLINIC
Active
Parent organization
MACON OCCUPATIONAL MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MACON OCCUPATIONAL MEDICINE
Authorized official
LEONARD BEVILL (PRESIDENT/CEO)
(478) 751-2925
Entity
Organization
Contact information
Practice address
3340 CHESTNEY RD, MACON, GA 31217-5502
(478) 972-8900
Mailing address
124 3RD ST, MACON, GA 31201-3404
(478) 751-2925
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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