Organization
CENTRAL GEORGIA GYNECOLOGY II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICIA HOLDEN (BILLING MANAGER)
(404) 943-0205
Entity
Organization
Contact information
Practice address
2410 INGLESIDE AVE, MACON, GA 31204-2036
(478) 746-1333
(478) 738-8638
Mailing address
5909 PEACHTREE DUNWOODY RD NE, SUITE 900, ATLANTA, GA 30328-8102
(404) 943-0205
(404) 943-0209
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
04/15/2009
Last updated
04/15/2009
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