LILLETTE A INTAPHAN MD LLC

MACON, GA
NPI1649414657
Entity TypeOrganization
Authorized ContactLILLETTE A INTAPHAN
Mdc
478-475-1299
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: GA  033601)
Enumeration Date2009-04-22
Last Update Date2009-10-19
Business Address
LILLETTE A INTAPHAN MD LLC
432 POPLAR ST SUITE B
MACON, GA 31201-3336
Phone number: 478-475-1299
Mailing Address
LILLETTE A INTAPHAN MD LLC
PO BOX 26040
MACON, GA 31221-6040
Phone number: 478-475-1299
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