Gabriel Primary Care
Family Medicine in Macon, GA. Organization (NPI-2).
NPI number1982306718
StatusActive
Last updated in NPPESOct 12, 2023
Details
- NPI
- 1982306718
- Entity type
- Organization (NPI-2)
- Legal business name
- Gabriel Primary Care
- Organization subpart
- No
- Enumeration date
- Mar 17, 2023
- Certification date
- Oct 12, 2023
- Last updated
- Oct 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
101 Gateway DriveMacon, GA 31210
Phone 478-210-1670
Mailing address
101 Gateway DriveMacon, GA 31210
Phone 478-210-1670
Authorized official
Sabry Gabriel
Owner
4783358311
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