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NPI Code Detail

MEDICARE: MACON PAIN CENTER, P.C.

MEDICARE: MACON PAIN CENTER, P.C.
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
1261QA1903XAmbulatory Surgical Clinic/Center011231GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447388574
Entity Type Code : Organization
Provider Name (Legal Business Name) : MACON PAIN CENTER, P.C.
Provider Business Mailing Address
First Line : PO BOX 13483
Second Line :
City : MACON
State : GA
Zip : 31208-3483
Country : US
Telephone Number : 478-476-9886
Fax Number :
Provider Business Practice Location Address
First Line : 3356 VINEVILLE AVE
Second Line :
City : MACON
State : GA
Zip : 31204-2328
Country : US
Telephone Number : 478-476-9886
Fax Number :
Authorized Official
Title or Position : CEO
Name : DR. CARLOS J GIRON
Credential : M.D.
Telephone Number : 478-476-9886
Provider Enumeration Date : 03/01/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

1053392068 — DR. CARLOS JORGE GIRON M.D.
Practice Location Address:
3356 VINEVILLE AVE
MACON, GA
31204-2328
Practice Phone: 478-476-9886
Practice Fax: 478-476-9976
1699756361 — PRESTON CHANDLER DELAPERRIERE M.D.
Practice Location Address:
3356 VINEVILLE AVE
MACON, GA
31204-2328
Practice Phone: 478-476-9642
Practice Fax: 478-476-9976
1033196761 — DR. JULIAN M EARLS JR. M.D.
Practice Location Address:
3356 VINEVILLE AVE
MACON, GA
31204-2328
Practice Phone: 478-476-9886
Practice Fax: 478-476-9976
1306823034 — DR. GRACE DUQUE-DIZON M.D.
Practice Location Address:
3356 VINEVILLE AVE
MACON, GA
31204-2328
Practice Phone: 478-476-9642
Practice Fax: 478-476-9976
1376505917 — JAMES J GAUDET D.C.
Practice Location Address:
3336 VINEVILLE AVE
MACON, GA
31204-2328
Practice Phone: 478-477-9480
Practice Fax: 478-477-0842
1265560379 — GEORGIA PAIN INSTITUTE. LLC
Practice Location Address:
3356 VINEVILLE AVE
MACON, GA
31204-2328
Practice Phone: 478-476-9886
Practice Fax: 478-476-9976

Directions to “MACON PAIN CENTER, P.C. ” Practice Location

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