Organization
THE 831 COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEMECIA MARIE HUMPHREY (OWNER)
(478) 365-6473
Entity
Organization
Contact information
Practice address
788 HIGHTOWER RD, MACON, GA 31206-2240
(478) 365-6473
Mailing address
788 HIGHTOWER RD, MACON, GA 31206-2240
(478) 365-6473
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
09/11/2016
Last updated
09/11/2016
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