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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IM-PEDS PRIMARY CARE LLC

Active Organization

IM-PEDS PRIMARY CARE LLC is a Internal Medicine organization located in MACON, Georgia. NPI 1578572293 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · MACON, GA

Registration Details

NPI Number
1578572293
Provider Type
Organization
NPI Issued
Aug 5, 2006 (20.041858982886 yrs)
Last Updated
Feb 11, 2019
Licenses
051256 (GA)
051256 (GA)

Practice Information

Address
360 HOSPITAL DR
BLDG D SUITE110
MACON, GA, 312173874
Browse GA providers · Browse ZIP 31217
Phone
4788412707
Fax
4788412708
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.