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Organization

FOUR MAC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY P MCGRATH M.D. (OWNER/PHYSICIAN)
(904) 742-7286
Entity
Organization

Contact information

Practice address
1415 ROSS AVE, EL CENTRO, CA 92243-4306
(760) 339-7100
Mailing address
PO BOX 568, MUNCIE, IN 47308-0568
(765) 284-0493
(765) 284-2434

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
02/10/2026
Last updated
02/10/2026
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