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NPI Code Detail

MEDICARE: MACON ORTHOPAEDIC & HAND CENTER, PA

MEDICARE: MACON ORTHOPAEDIC & HAND CENTER, PA
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
1207XX0005XSports Medicine (Orthopaedic Surgery) Physician
2261QP2000XPhysical Therapy Clinic/Center
3207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1881200251
Entity Type Code : Organization
Provider Name (Legal Business Name) : MACON ORTHOPAEDIC & HAND CENTER, PA
Provider Business Mailing Address
First Line : 3708 NORTHSIDE DR
Second Line :
City : MACON
State : GA
Zip : 31210-2404
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2510 GA HIGHWAY 127
Second Line :
City : KATHLEEN
State : GA
Zip : 31047-2828
Country : US
Telephone Number : 478-745-4206
Fax Number :
Authorized Official
Title or Position : CEO
Name : WILLIAM EDWARD LINDSEY
Credential :
Telephone Number : 478-254-5301
Provider Enumeration Date : 09/21/2020
Last Update Date : 01/23/2023

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