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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

NPI # 1669973186
LBN Legal business name MACON OCCUPATIONAL MEDICINE
Authorized official LEONARD BEVILL - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/21/2018
Last updated 02/21/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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