Organization
CENTRAL GEORGIA PEDIATRICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN OKORO (OFFICE MANAGER)
(478) 746-6660
Entity
Organization
Contact information
Practice address
844 2ND ST, MACON, GA 31201-6885
(478) 746-6662
(478) 746-8861
Mailing address
844 2ND ST, MACON, GA 31201-6885
(478) 746-6662
(478) 746-8861
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
039194
GA
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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