Mcc Internal Medicine 2, Llc
Specialist in Macon, GA(View on Map)
Legal Business Name
Mcc Internal Medicine 2, Llc
NPI Number
1366899189
NPI Type
Organization
Enumeration Date
05/23/2016
Specialties
(Taxonomies)Licenses
State
Georgia
License Number
66228
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 468329
6501 PEAKE RD
City
Atlanta
Macon
State
GA
GA
Postal Code
31146-8329
31210-8042
Country
US
US
Telephone Number
(770) 579-2626
(478) 273-2662
Authorized Official
Name
Mrs. Shelley Depp
Title or Position
PAYER RELATIONS LIAISON
Telephone Number
(770) 579-2626
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/23/2016