Organization
CENTRAL GEORGIA PULMONARY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAY W SPENCE (ADMINISTRATOR)
(478) 744-2445
Entity
Organization
Contact information
Practice address
458 HEMLOCK ST STE 200, MACON, GA 31201-4200
(478) 744-2445
(478) 744-0906
Mailing address
458 HEMLOCK ST STE 200, MACON, GA 31201-4200
(478) 744-2445
(478) 744-0906
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
043061
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
478219073A
—
GA
01
—
CK2788
MEDICARE ID SPECIFIED
GA
Enumeration date
01/09/2007
Last updated
04/29/2026
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