Providence Medical Group, Pc in Macon - Internal Medicine
Providence Medical Group, Pc - NPI 1063570604
Providence Medical Group, Pc is a Internal Medicine in Macon, Georgia. Providence Medical Group, Pc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Providence Medical Group, Pc is 1063570604. The last update date is 2012-06-19.
Providence Medical Group, Pc's current location address is Po Box 4047, Macon, Georgia. You can contact this provider via phone number 4048563213 and fax number 4048563217. The mailing address for Providence Medical Group, Pc is Po Box 4047, Macon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Medical Group, Pc |
|---|---|
| Address | Po Box 4047, Macon, Georgia |
| Phone Number | 4048563213 |
| Fax Number | 4048563217 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Osinuga Adisa Oladayo |
| Credentials | MD |
| Telephone Number | 4046847111 |
NPI Number Detail
| NPI Number | 1063570604 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2012-06-19 |
Provider Mailing Address Detail
| Address | Po Box 4047 |
|---|---|
| City | Macon |
| State | Georgia (GA) |
| Post Code | 312084047 |
| Phone Number | 4048563213 |
| Fax Number | 4048563217 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 51703 |
|
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Providence Medical Group, Pc by the Centers for Medicare & Medicaid Services?
The Providence Medical Group, Pc has been issued the NPI (National Provider Identifier) 1063570604 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Providence Medical Group, Pc's facilities are geographically located?
The facilities of Providence Medical Group, Pc are physically situated at the following location: Po Box 4047, Macon, GA, 312084047.
What is Providence Medical Group, Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Providence Medical Group, Pc is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063570604 to Providence Medical Group, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1063570604 to Providence Medical Group, Pc on 2006-12-05.
When was the information related to Providence Medical Group, Pc most recently updated or refreshed?
The details pertaining to the Providence Medical Group, Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-06-19.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1285637785
Address: 101 Deer Run Rd, Elgin, SC
NPI Number: 1851394431
Address: 220 Reservoir St, Harrisonburg, VA