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Contact Information

MACON OCCUPATIONAL MEDICINE
1005 STATE UNIVERSITY DR
FORT VALLEY, GA31030-4313
 Phone: 478-972-8900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for MACON OCCUPATIONAL MEDICINE · (Female)

NPI # 1669973186
Status Active
Credentials
Entity Individual
Enumeration date 02/21/2018
Last updated 02/21/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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