Organization
PEDIATRIC CARE OF MACON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEIGH HOWARD MCDANIEL (PRACTICE MANAGER)
(478) 475-1006
Entity
Organization
Contact information
Practice address
3951 RIDGE AVE, SUITE A, MACON, GA 31210-5050
(478) 475-1006
(478) 475-0787
Mailing address
3951 RIDGE AVE, SUITE A, MACON, GA 31210-5050
(478) 475-1006
(478) 475-0787
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
020359
GA
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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