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NPI Code Detail

MEDICARE: 315 INTERNAL MEDICINE LLC

MEDICARE: 315 INTERNAL MEDICINE 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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1649129651
Entity Type Code : Organization
Provider Name (Legal Business Name) : 315 INTERNAL MEDICINE LLC
Provider Business Mailing Address
First Line : 6501 PEAKE RD STE 1100
Second Line :
City : MACON
State : GA
Zip : 31210-8053
Country : US
Telephone Number : 478-475-5133
Fax Number : 866-561-8562
Provider Business Practice Location Address
First Line : 6501 PEAKE RD STE 1100
Second Line :
City : MACON
State : GA
Zip : 31210-8053
Country : US
Telephone Number : 478-475-5133
Fax Number : 866-561-8562
Authorized Official
Title or Position : DIRECTOR OF ACCOUNTING
Name : MELISSA S LAND
Credential :
Telephone Number : 478-731-5912
Provider Enumeration Date : 01/23/2026
Last Update Date : 01/23/2026

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Directions to “315 INTERNAL MEDICINE LLC ” Practice Location

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