RAFAEL ANDRES PONCE TERASHIMA

MACON, GA
NPI1962720326
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
(Licence: GA  070409)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MI  430109038)
207R00000X Internal Medicine
(Licence: GA  070409)
Enumeration Date2010-05-11
Last Update Date2019-02-20
Business Address
Dr. RAFAEL ANDRES PONCE TERASHIMA MD
707 PINE ST
MACON, GA 31201-2106
Phone number: 478-301-5800
Mailing Address
Dr. RAFAEL ANDRES PONCE TERASHIMA MD
250 MARTIN LUTHER KING JR BLVD
MACON, GA 31201
Phone number: 478-301-2362