Organization
MACON HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY PICKLER (VP)
(478) 746-8801
Entity
Organization
Contact information
Practice address
380 HOSPITAL DR, SUITE 125, MACON, GA 31217-8001
(478) 746-8801
(748) 746-8801
Mailing address
380 HOSPITAL DR, SUITE 125, MACON, GA 31217-8001
(478) 746-8801
(748) 746-8801
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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