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1689743627
FAMILY MEDICINE AT NORTHSIDE LLC
MACON, GA
NPI
1689743627
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Entity Type
Organization
Authorized Contact
MARK PICKETT
VP
678-762-5037
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-11-06
Last Update Date
2008-04-20
Business Address
FAMILY MEDICINE AT NORTHSIDE LLC
420 CHARTER BLVD SUITE 3003
MACON, GA 31210-4854
Phone number: 478-475-4886
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Mailing Address
FAMILY MEDICINE AT NORTHSIDE LLC
420 CHARTER BLVD SUITE 3003
MACON, GA 31210-4854
Phone number: 478-475-4886
Copy
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