Mac - Macon Road Llc

LBN: Mac - Macon Road Llc
Mac - Macon Road Llc is an health care organization with primary practice located at 3465 Macon Rd Ste D , Columbus GA 31907-2582. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Mac - Macon Road Llc can be contacted via phone (706) 243-3051, or through Snoddy, Robert O'Neil via phone (706) 243-3051.

Contact Information

Primary practice address
3465 Macon Rd Ste D Columbus GA 31907-2582
Phone: (706) 243-3051
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Snoddy, Robert O'Neil Doctor of Medicine (MD)
Phone: (706) 243-3051

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1053599043
LBN Legal business name Mac - Macon Road Llc
DBA Doing business as
Authorized official Snoddy, Robert O'Neil Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 1st, 2008
Last updated Oct 7th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053599043 NPPES
Georgia MEDICAID 934157678A

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