MIP MEDICAL MANAGEMENT
Organization (NPI-2)
Active
Internal Medicine
Provider Information
- NPI Number
1376813451- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 833 WALNUT ST, MACON, GA, 312012617
- Phone
- (478) 741-5901
- Fax
- (478) 741-5904
Specialties & Taxonomies
Internal Medicine
License: GA #45394335
Allergy & Immunology
Unknown
Primary License: GA #459343135