Organization
MIDSTATE FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL N PRYBY MD (PRESIDENT)
(478) 745-0095
Entity
Organization
Contact information
Practice address
2191 INGLESIDE AVE, MACON, GA 31204-2029
(478) 745-0095
(478) 745-8138
Mailing address
PO BOX 9542, WARNER ROBINS, GA 31095-9542
(478) 745-0095
(478) 745-8138
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46215
GA
Other
Enumeration date
03/26/2007
Last updated
10/18/2009
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