Organization
INTERNAL MEDICINE OF MACON GA LLC
Active
Other names
Internal Medicine of Macon LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL UKPONG DO (DO)
(478) 746-0901
Entity
Organization
Contact information
Practice address
770 PINE ST STE 210, MACON, GA 31201-7512
(478) 746-0901
(478) 250-8395
Mailing address
770 PINE ST STE 210, MACON, GA 31201-7512
(478) 746-0901
(478) 250-8395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/10/2021
Last updated
11/26/2024
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