NPI # 

Practice Address:

555 1St St

Macon, GA, 31201-2825

Practice Phone:

478-744-9603

Practice Fax:

478-744-9552

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Radiology

Taxonomy Code:

261QR0200X