Organization
WEST GEORGIA PEDIATRIC PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS R MACLEOD M.D. (OFFICE MANAGER)
(706) 576-5773
Entity
Organization
Contact information
Practice address
802 22ND ST, COLUMBUS, GA 31904-8823
(706) 576-5773
(706) 323-4247
Mailing address
802 22ND STREET, COLUMBUS, GA 31904-8823
(706) 576-5773
(706) 323-4247
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
022439
GA
Other
Enumeration date
01/05/2007
Last updated
08/22/2020
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