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Individual

HOMER SHERIDAN NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
626 1ST ST, MACON, GA 31201-2805
(478) 743-4666
Mailing address
626 1ST ST, MACON, GA 31201-2805
(478) 743-4666

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
8527
GA

Other

Enumeration date
09/29/2008
Last updated
09/29/2008
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