Organization
MACON PHYSICAL THERAPY
Active
Organization
MACON PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALOYSIUS F MEIVES IV PT (REGIONAL VP OUTPATIENT SERVICES)
(859) 585-3002
Entity
Organization
Contact information
Practice address
3085 VINEVILLE AVE, MACON, GA 31204
(478) 742-0904
(478) 352-0078
Mailing address
3085 VINEVILLE AVE, MACON, GA 31204
(478) 742-0904
(478) 352-0078
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002335
GA
Other
Enumeration date
03/19/2006
Last updated
03/23/2017
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