Organization
GEORGIA MEDICAL GROUP, LLC
Active
Parent organization
GEORGIA PHYSICIANS FOR ACC SOLE M
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA PHYSICIANS FOR ACC SOLE M
Authorized official
STEPHEN BARRY (EXECUTIVE DIRECTOR)
(478) 345-8056
Entity
Organization
Contact information
Practice address
2410 INGLESIDE AVE, MACON, GA 31204-2036
(478) 345-8056
Mailing address
2410 INGLESIDE AVE, MACON, GA 31204-2036
(478) 345-8056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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