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Organization

MACON OCCUPATIONAL MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LEONARD GILL BEVILL (PRESIDENT/CEO)
(478) 751-2925
Entity
Organization

Contact information

Practice address
124 3RD ST, MACON, GA 31201-3404
(478) 751-2900
(478) 751-2979
Mailing address
124 3RD ST, MACON, GA 31201-3404
(478) 751-2900
(478) 751-2979

Taxonomy

Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary

Other

Enumeration date
06/02/2011
Last updated
02/22/2018
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