NPI 1073082830
Medrad, LLC
Practice location
- Address
- 1818 Forsyth St, Macon, GA 31201
- Phone
- (478) 738-0099
- Fax
- (478) 750-8211
Authorised official
- Name
- Kuo Lam Lee
- Title
- Owner
- Phone
- (478) 738-0099
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1073082830
- Entity type
- Organization
- NPI issued
- 21 Nov 2018
- Record last updated
- 19 Jun 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.