Organization
VASCULAR LAB OF CENTRAL GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE RUDD (PRACTICE MANAGER)
(478) 254-7353
Entity
Organization
Contact information
Practice address
688 WALNUT ST, 201, MACON, GA 31201-2677
(478) 254-7353
Mailing address
688 WALNUT ST, 201, MACON, GA 31201-2677
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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