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Individual

LARA MICHELLE KHOURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1550 COLLEGE ST, MACON, GA 31207-1500
(478) 301-2600
Mailing address
1550 COLLEGE ST, MACON, GA 31207-1500
(478) 301-2600

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2025-00304
NC
208M00000X
Hospitalist Physician
Primary
2025-00304
NC

Other

Enumeration date
04/05/2021
Last updated
02/12/2025
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