MIDDLE GEORGIA INTERNAL MEDICINE & KIDNEY DISEASES
Osteopathic Medicine at Gray Hwy, Macon, GA

License number
Georgia 33504
Category
Osteopathic Medicine
Type
Nephrology
Owner
Name: MRS. JANET A ALLEN-NWOSU
Title: MANAGER
Phone: (478) 745-8309
Address
Address
1122 Gray Hwy SUITE 4, Macon, GA 31211
National Provider ID: 1225301781
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MIDDLE GEORGIA INTERNAL MEDICINE & KIDNEY DISEASES, LLC

1122 Gray Hwy SUITE #4, Macon, GA 31211

Registration:
Nov 11, 2011
State ID:
11084923
Business type:
Domestic Limited Liability Company
Agent:
Clement Nwosu,1122 Gray Hwy SUITE #4, Macon, GA (Physical)

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