JUSTIN MCIVOR LAW

MACON, GA
NPI1962750323
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: TN  72978)
Additional Taxonomies207Q00000X Family Medicine
(Licence: GA  076754)
Enumeration Date2012-08-16
Last Update Date2025-04-25
Business Address
JUSTIN MCIVOR LAW MD
1400 COLEMAN AVE
MACON, GA 31207-0001
Phone number: 478-301-2700
Mailing Address
JUSTIN MCIVOR LAW MD
1400 COLEMAN AVE
MACON, GA 31207-0001
Phone number: 478-301-2700