Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fadoul Medical LLC

Organization Internal Medicine Physician · NPI 1205713138

Fadoul Medical LLC is an Internal Medicine Physician in Macon, Georgia. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

350 Hospital Dr
Macon, GA 31217-3838
Phone: (478) 318-8866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 104 Broadleaf Dr, Macon, GA 31210-1920 — (478) 318-8866

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1205713138
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Fadoul — Owner · (706) 612-0761
NPI enumeratedAugust 20, 2025
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025
Mailing addressPo Box 3424, Eatonton, GA 31024-3424

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