Organization
MACON GASTROENTEROLOGY ANESTHESIA ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF PERRY (VP OF RCM)
(502) 418-4700
Entity
Organization
Contact information
Practice address
610 3RD ST, SUITE 204, MACON, GA 31201-3294
(478) 464-2600
Mailing address
PO BOX 739576, DALLAS, TX 75373-9576
(888) 717-5383
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
12/15/2015
Last updated
07/23/2025
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