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1528186913
MIDSTATE FAMILY MEDICINE, PC
MACON, GA
NPI
1528186913
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Entity Type
Organization
Authorized Contact
CAROL N PRYBY
President
478-745-0095
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 46215)
Enumeration Date
2007-03-26
Last Update Date
2009-10-18
Business Address
MIDSTATE FAMILY MEDICINE, PC
2191 INGLESIDE AVE
MACON, GA 31204-2029
Phone number: 478-745-0095
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Mailing Address
MIDSTATE FAMILY MEDICINE, PC
PO BOX 9542
WARNER ROBINS, GA 31095-9542
Phone number: 478-745-0095
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