Macon Medical Group Pc

LBN: Macon Medical Group Pc
Macon Medical Group Pc is an health care organization with primary practice located at 640 Martin Luther King Jr Blvd Suite 200, Macon GA 31201-3206. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Macon Medical Group Pc can be contacted via phone (478) 745-5455, or through Cavaliere, Ludwig V. via phone (478) 745-5455.

Contact Information

Primary practice address
640 Martin Luther King Jr Blvd Suite 200 Macon GA 31201-3206
Phone: (478) 745-5455
Fax: (478) 745-2915
Website:
Map and Directions
Authorized official contact:
Name: Cavaliere, Ludwig V. Doctor of Medicine (MD)
Phone: (478) 745-5455

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1912914847
LBN Legal business name Macon Medical Group Pc
DBA Doing business as
Authorized official Cavaliere, Ludwig V. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2006
Last updated May 4th, 2009 - 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 1912914847 NPPES
Other CB5310 RXR MEDICARE
MEDICAID 300025393H RXR MEDICARE
MEDICAID 300025393D RXR MEDICARE

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