Catherine Bomberger, Md, Llc

NPI 1194077339 - Internal Medicine - 207R00000X

NPI Details
NPI 1194077339
Enumeration Date 10/11/2012
Last Updated 10/11/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CATHERINE CATHERINE
Position OWNER
Phone (478) 464-1933
Fax (478) 464-5094
Practice Location
310 HOSPITAL DR
BLDG B, SUITE 315
MACON GA, 31217-3895, US
Phone (478) 464-1933
Fax (478) 464-5094
Business Location
310 HOSPITAL DR
BLDG B, SUITE 315
MACON GA, 31217-3895, US
Phone (478) 464-1933
Fax (478) 464-5094
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 048188
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According to our database, Catherine Bomberger, Md, Llc NPI is 1194077339, taxonomy code is 207R00000X and license number is 048188, license state is located at Georgia. Catherine Bomberger, Md, Llc physically located at 310 Hospital Dr, Macon GA, 31217-3895. NPI Number 1033115704 has the healthcare provider type.

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1194077339 NPI number is provided on an as is basis without warranty of any kind. 1194077339 is maintained by the National Plan & Provider Enumeration System. The contents of Catherine Bomberger, Md, Llc are for informational purposes only.