Organization
MACON PAIN CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS J GIRON M.D. (CEO)
(478) 476-9886
Entity
Organization
Contact information
Practice address
3356 VINEVILLE AVE, MACON, GA 31204-2328
(478) 476-9886
Mailing address
PO BOX 13483, MACON, GA 31208-3483
(478) 476-9886
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
011231
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00707319F
—
GA
Enumeration date
03/01/2007
Last updated
08/22/2020
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