MEDICARE: THE DOCTOR'S OFFICE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1639195258
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE DOCTOR'S OFFICE, LLC

Provider Business Mailing Address
First Line	:	1065 JODECO RD
Second Line	:
City	:	STOCKBRIDGE
State	:	GA
Zip	:	30281-4953
Country	:	US
Telephone Number	:	678-284-6300
Fax Number	:	678-284-6336

Provider Business Practice Location Address
First Line	:	4310 HARTLEY BRIDGE RD
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31216-5642
Country	:	US
Telephone Number	:	478-784-2772
Fax Number	:	478-784-7920

Authorized Official
Title or Position	:	CEO
Name	:	JEFFERY V. CURTIS
Credential	:	D.O.
Telephone Number	:	770-631-9999

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	08/22/2020

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Directions to “THE DOCTOR'S OFFICE, LLC ” Practice Location

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