ASTORIA OF MIDDLE GA LLC

MACON, GA
NPI1609140870
Entity TypeOrganization
Authorized ContactWILLIAM ENRIQUE AGUDELO
President
478-787-9153
Organization Subpart ?No
Primary Taxonomy207L00000X Anesthesiology
Enumeration Date2012-03-05
Last Update Date2012-06-08
Business Address
ASTORIA OF MIDDLE GA LLC
403 LAKEVIEW PL
MACON, GA 31211-6127
Phone number: 478-787-9153
Mailing Address
ASTORIA OF MIDDLE GA LLC
403 LAKEVIEW PL
MACON, GA 31211-6127
Phone number: 478-787-9153
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