Organization
OCMULGEE PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN D JUSTICE (OWNER)
(478) 746-0097
Entity
Organization
Contact information
Practice address
446 POPLAR ST, SUITE B, MACON, GA 31201-3336
(478) 746-0097
(478) 742-4051
Mailing address
446 POPLAR ST, SUITE B, MACON, GA 31201-3336
(478) 746-0097
(478) 742-4051
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
032405
GA
Other
Enumeration date
12/07/2011
Last updated
06/29/2022
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