MAC - MACON ROAD LLC

COLUMBUS, GA
NPI1053599043
Entity TypeOrganization
Authorized ContactROBERT O'NEIL SNODDY
Medical Director
706-243-3051
Organization Subpart ?Yes
Primary Taxonomy261Q00000X 
Enumeration Date2008-02-01
Last Update Date2008-10-07
Business Address
MAC - MACON ROAD LLC
3465 MACON RD STE D
COLUMBUS, GA 31907-2582
Phone number: 706-243-3051
Mailing Address
MAC - MACON ROAD LLC
PO BOX 84052
COLUMBUS, GA 31908-4052
Phone number: 706-243-0626
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