Organization
MACON WOMENS HEALTH CLINIC, LLC
Active
Other names
Felisha L. Kitchen, MD
Organization subpart
No
Provider details
NPI number
Authorized official
FELISHA L. KITCHEN MD (OWNER & PHYSICIAN)
(478) 742-5502
Entity
Organization
Contact information
Practice address
718 1ST ST, MACON, GA 31201-6840
(478) 742-5502
(478) 742-5505
Mailing address
718 1ST ST, MACON, GA 31201-6840
(478) 742-5502
(478) 742-5505
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
560266765B
—
GA
05
—
739099977D
—
GA
Enumeration date
03/08/2010
Last updated
05/20/2015
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