MACON, GA
NPI1023878634
Entity TypeOrganization
Authorized ContactIYABO MURAINA
Business Manager
478-744-9603
Organization Subpart ?No
Primary Taxonomy261QR0200X Clinic/Center, Radiology
Enumeration Date2024-03-20
Last Update Date2024-03-20
Business Address
555 1ST ST
MACON, GA 31201-2825
Phone number: 478-744-9603
Mailing Address
PO BOX 4645
MACON, GA 31208-4645
Phone number: 478-744-9603