LILLETTE A INTAPHAN MD LLC
Osteopathic Medicine at Poplar St, Macon, GA

License number
Georgia 033601
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: LILLETTE A INTAPHAN
Title: MDC
Phone: (478) 475-1299
Address
Address
432 Poplar St SUITE B, Macon, GA 31201
National Provider ID: 1649414657
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LILLETTE A INTAPHAN MD LLC at bizstanding.com

LILLETTE A. INTAPHAN, M.D., LLC

657 Hemlock St STE 221 SUITE 221, Macon, GA 31201

Doing business as:
Lillette Intaphan LLC - Lillette A Intaphan MD
Registration:
Jan 26, 2009
Phone:
(478) 750-8984 (Phone), (478) 746-1530 (Fax)
State ID:
09009030
Business type:
Domestic Limited Liability Company
Physician:
Lillette A. Intaphan (Physician)
Agent:
Chaiporn Intaphan,657 Hemlock St, Macon, GA (Physical)
Categories:
Physicians & Surgeons - Medical-M.D., Internal Medicine Physicians & Surgeons, Physicians & Surgeons
Open Hours:
Open Mon-Fri
Products:
Internal Medicine Board Certified
Certifications:
Board Certified in Internal Medicine
Additional:
Macon, Ga.

Osteopathic Medicine licenses in Georgia










Other Doctors licenses in Georgia