MACON CORE

ATLANTA, GA
NPI1821186057
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: GA  041420)
Enumeration Date2006-10-11
Last Update Date2007-07-08
Business Address
-- MACON CORE MD
1968 PEACHTREE RD NW
ATLANTA, GA 30309-1281
Phone number: 404-605-3297
Mailing Address
-- MACON CORE MD
PO BOX 19599
ATLANTA, GA 30325-0599
Phone number: 404-605-3297