Unknown Individual – Contractor, NPI 1417393208
Contractor
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
3000 ARROWHEAD DR
LIZELLA, GA 310523512
Phone:
Type: Mailing
6601 ZEBULON RD
MACON, GA 312207606
Phone: (478) 477-3383
Fax: (478) 957-9492
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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Educational use only—not medical, billing, or legal advice.
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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31052)
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