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1053599043
MAC - MACON ROAD LLC
COLUMBUS, GA
NPI
1053599043
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Entity Type
Organization
Authorized Contact
ROBERT O'NEIL SNODDY
Medical Director
706-243-3051
Organization Subpart ?
Yes
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2008-02-01
Last Update Date
2008-10-07
Business Address
MAC - MACON ROAD LLC
3465 MACON RD STE D
COLUMBUS, GA 31907-2582
Phone number: 706-243-3051
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Mailing Address
MAC - MACON ROAD LLC
PO BOX 84052
COLUMBUS, GA 31908-4052
Phone number: 706-243-0626
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