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Organization

SPINE CENTER MACON, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES CHAPPUIS MD (OWNER)
(404) 351-5812
Entity
Organization

Contact information

Practice address
3356 VINEVILLE AVE, MACON, GA 31204-2328
(404) 351-5812
Mailing address
3161 HOWELL MILL RD NW STE 310, ATLANTA, GA 30327-2132
(404) 351-5812

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Enumeration date
09/11/2018
Last updated
09/11/2018
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