Organization
MCC INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMIAH RAMOS MCCLURE MD (CEO)
(478) 442-3292
Entity
Organization
Contact information
Practice address
6501 PEAKE RD, SUITE 100, MACON, GA 31210-8042
(478) 442-3292
Mailing address
6501 PEAKE RD, SUITE 100, MACON, GA 31210-8042
(478) 442-3292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
66228
GA
Other
Enumeration date
01/30/2014
Last updated
02/13/2014
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