Organization
PREMIER MEDICAL ACCESS OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAPAN WHITE (PROVIDER)
(478) 335-8187
Entity
Organization
Contact information
Practice address
609 CHERRY STREET, SUITE 321, MACON, GA 31201
(478) 335-8187
Mailing address
5580 THOMASTON RD STE 18, MACON, GA 31220-8121
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
09/11/2025
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