MIP MEDICAL MANAGEMENT

MACON, GA
NPI1376813451
Doing Business AsMACON MEDICAL CENTER
Entity TypeOrganization
Authorized ContactCYNTHIA MARIE TATE
Administrator
478-741-5901
Organization Subpart ?No
Primary Taxonomy208VP0000X Pain Medicine, Pain Medicine
(Licence: GA  459343135)
Additional Taxonomies207R00000X Internal Medicine
(Licence: GA  45394335)
207K00000X Allergy & Immunology
Enumeration Date2012-01-06
Last Update Date2013-02-14
Business Address
MIP MEDICAL MANAGEMENT
833 WALNUT ST
MACON, GA 31201-2617
Phone number: 478-741-5901
Mailing Address
MIP MEDICAL MANAGEMENT
833 WALNUT ST
MACON, GA 31201-2617
Phone number: 478-741-5901