Organization
NEW HORIZON PRIMARY CARE, LLC
Active
Other names
Westside Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER E ALLOTEY M.D. (PRESIDENT)
(478) 743-8316
Entity
Organization
Contact information
Practice address
2660 MONTPELIER AVE, MACON, GA 31204-5226
(478) 743-8316
(748) 743-1824
Mailing address
2660 MONTPELIER AVE, MACON, GA 31204-5226
(478) 743-8316
(478) 743-1824
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11D0993815
CLIA NUMBER
GA
05
—
300036064A
—
GA
Enumeration date
05/24/2007
Last updated
06/10/2019
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