Organization
MACON GYN OB ASSOCIATES II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA HOLDEN ACCOUNTING (LEAD)
(404) 943-0205
Entity
Organization
Contact information
Practice address
650 COLISEUM PL, MACON, GA 31217-3867
(404) 943-0205
Mailing address
PO BOX 468329, ATLANTA, GA 31146-8329
(404) 943-0205
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
04/06/2007
Last updated
08/22/2020
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