Heart Of Georgia Rheumatology Llc

NPI 1013312040 - Internal Medicine - 207RR0500X

NPI Details
NPI 1013312040
Enumeration Date 11/04/2014
Last Updated 11/04/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name NANNETTE R NANNETTE
Position FOUNDING MEMBER
Phone (478) 742-3704
Fax (478) 738-8609
Practice Location
310 HOSPITAL DR
SUITE 210
MACON GA, 31217-3895, US
Phone (478) 742-3704
Fax (478) 738-8609
Business Location
310 HOSPITAL DR
SUITE 210
MACON GA, 31217-3895, US
Phone (478) 742-3704
Fax (478) 738-8609
Toxanomy
Taxonomy Code 207RR0500X
License State Georgia
License Number 052700
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According to our database, Heart Of Georgia Rheumatology Llc NPI is 1013312040, taxonomy code is 207RR0500X and license number is 052700, license state is located at Georgia. Heart Of Georgia Rheumatology Llc physically located at 310 Hospital Dr, Macon GA, 31217-3895. NPI Number 1033115704 has the healthcare provider type.

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1013312040 NPI number is provided on an as is basis without warranty of any kind. 1013312040 is maintained by the National Plan & Provider Enumeration System. The contents of Heart Of Georgia Rheumatology Llc are for informational purposes only.