Organization
MIDTOWN INFUSION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REUBEN K ELLIS MD (CEO)
(478) 250-1325
Entity
Organization
Contact information
Practice address
1445 GEORGIA AVE STE 2, MACON, GA 31201-7610
(478) 250-1325
(478) 254-6860
Mailing address
1445 GEORGIA AVE STE 2, MACON, GA 31201-7610
(478) 250-1325
(478) 254-6860
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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