NPI 1376813451

Mip Medical Management

Organisation Pain Medicine Physician Macon, GA

Practice location

Address: 833 Walnut St, Macon, GA 31201-2617
Phone: (478) 741-5901
Fax: (478) 741-5904

Authorised official

Name: Cynthia Marie Tate
Title: Administrator
Phone: (478) 741-5901

Registered specialties (3)

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 459343135 (GA)

Other Pain Medicine providers in Georgia →

Allergy & Immunology Physician

Allopathic & Osteopathic Physicians Taxonomy 207K00000X

Other Allergy & Immunology providers in Georgia →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 45394335 (GA)

Other Internal Medicine providers in Georgia →

Registry record

NPI: 1376813451
Entity type: Organization
NPI issued: 6 Jan 2012
Record last updated: 14 Feb 2013

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.