Unknown Individual – Nephrology Physician, NPI 1407932411
Nephrology Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Macon Post Office, 101, West Dunn Street, Macon, Macon County, Illinois, 62544, United States
MACON, GA 312084947
Phone: (478) 301-2362
Fax: (478) 301-2272
Type: Mailing
250, Martin Luther King Junior Boulevard, Macon, Bibb County, Georgia, 31201, United States
MACON, GA 31201
Phone: (478) 301-4111
Fax: (478) 301-5812
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31208)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| - | GA | |
| Physical Therapist In Private Practice | GA | |
| - | GA | |
| - | GA | |
| - | GA | |
| Internal Medicine, Infectious Disease | GA | |
| Physical Therapist In Private Practice | TN |
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