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NPI Profile for SPA MEDICAL LLC in MACON, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery |
| NPI Number | 1427668342 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/05/2020 | |
| Last updated | 10/06/2020 - About 6 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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SPA MEDICAL LLC
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| JONATHAN S CUDNIK, MD 1902 FORSYTH ST MACON, GA |
| SAMMY SHIHADEH, MD 777 HEMLOCK STREET MACON, GA |
| WILLIAM WALLACE JR, MD 777 HEMLOCK ST MACON, GA |
| ALYSE M RAGAUSKAS 777 HEMLOCK STREET MACON, GA |
| ANTHONY K MARTIN, MD 330 HOSPITAL DR BLDG C STE 315 MACON, GA |
| VLADIMIR ZAHRADNIK, MD 380 HOSPITAL DR BLDG A STE 320 MACON, GA |
| SALEH M EFTAIHA, MD 380 HOSPITAL DR BLDG A STE 320 MACON, GA |
| THOMAS C WOODYARD, MD 330 HOSPITAL DR BLDG C STE 315 MACON, GA |
| HOUSTON PHYSICIAN SPECIALISTS, LLC 233 N HOUSTON RD STE 173 WARNER ROBINS, GA |
| C.M. KINNARD, LLC 1118 HIGHWAY 96 WEST KATHLEEN, GA |
SPA MEDICAL LLC