Organization
SCARBOROUGH FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMEKA N SCARBOROUGH MD (OWNER)
(478) 788-4007
Entity
Organization
Contact information
Practice address
4310 HARTLEY BRIDGE RD, MACON, GA 31216-5642
(478) 788-4007
(478) 788-5070
Mailing address
4310 HARTLEY BRIDGE RD, MACON, GA 31216-5642
(478) 788-4007
(478) 788-5070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
048078
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000919696C
—
GA
Enumeration date
05/15/2007
Last updated
08/22/2020
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