Organization
MEDICAL ASSOCIATES OF ALBANY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA C ASHBERRY (MEDICARE AR)
(229) 889-9367
Entity
Organization
Contact information
Practice address
101 OAKLAND CROSSING DR, LEESBURG, GA 31763-7228
(229) 432-1440
(229) 889-8263
Mailing address
PO BOX 505, ALBANY, GA 31702-0505
(229) 889-9367
(229) 317-0678
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085002011G
—
GA
05
—
300032673A
—
GA
05
—
300032673B
—
GA
01
—
CD3696
RAILROAD MEDICARE GROUP #
GA
Enumeration date
09/19/2005
Last updated
02/20/2019
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