MEDICARE: JEREMIAH RAMOS MCCLURE MD

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	207R00000X	Internal Medicine Physician	66228	GA

General Provider Information

NPI Number	:	1700049772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEREMIAH RAMOS MCCLURE MD

Provider Business Mailing Address
First Line	:	6501 PEAKE RD STE 100
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31210-8043
Country	:	US
Telephone Number	:	478-273-2662
Fax Number	:	478-238-6304

Provider Business Practice Location Address
First Line	:	6501 PEAKE RD
Second Line	:	BUILDING 100
City	:	MACON
State	:	GA
Zip	:	31210-8042
Country	:	US
Telephone Number	:	478-273-2662
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2008
Last Update Date	:	01/13/2026

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