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Individual

RICHARD ACKERMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3780 EISENHOWER PKWY, MACON, GA 31206-0800
(478) 633-5500
(478) 784-3550
Mailing address
3780 EISENHOWER PKWY, MACON, GA 31206-0800
(478) 633-5500
(478) 784-3550

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
034759
GA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
034759
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000478035H
GA
05
000478035I
GA
Enumeration date
02/23/2006
Last updated
09/13/2019
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