Healthcare Provider Details

I. General information

NPI: 1003863788
Provider Name (Legal Business Name): FAMILY BEHAVIORAL CARE OF CENTRAL GA, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 10/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3985 ARKWRIGHT RD SUITE 102
MACON GA
31210-1774
US

IV. Provider business mailing address

3985 ARKWRIGHT RD SUITE 102
MACON GA
31210-1774
US

V. Phone/Fax

Practice location:
  • Phone: 478-474-4265
  • Fax: 478-474-7863
Mailing address:
  • Phone: 478-474-4265
  • Fax: 478-474-7863

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CESAR Y FIGUEROA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 478-474-4265