Macon Medical Clinic, Llc.

LBN: Macon Medical Clinic, Llc.
Macon Medical Clinic, Llc. is an health care organization with primary practice located at 3350 Northside Dr , Macon GA 31210-2504. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Medical Specialty, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Macon Medical Clinic, Llc. can be contacted via phone (478) 405-2121, or through Rahman, Mohammad Mohabubur via phone (478) 405-2121.

Contact Information

Primary practice address
3350 Northside Dr Macon GA 31210-2504
Phone: (478) 405-2121
Fax: (478) 405-0114
Website:
Map and Directions
Authorized official contact:
Name: Rahman, Mohammad Mohabubur Doctor of Medicine (MD)
Phone: (478) 405-2121

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X 044065 Georgia
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 044065 Georgia
Ambulatory Health Care Facilities / Primary Care 261QP2300X 044065 Georgia

Profile Details

NPI number 1063823482
LBN Legal business name Macon Medical Clinic, Llc.
DBA Doing business as
Authorized official Rahman, Mohammad Mohabubur Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2014
Last updated May 20th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers