Ketamine Centers of Central Georgia LLC
Ketamine Centers of Central Georgia LLC is an Internal Medicine Physician in Macon, Georgia. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3312 Northside Dr Ste D235Macon, GA 31210-0426
Phone: (478) 201-9220
Fax: (478) 203-9322
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|
Record details
| NPI number | 1053132308 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Judah Greenberg — Doctor Owner · (478) 201-9220 |
| Other names | Ketamine Center Of Central Georgia |
| NPI enumerated | October 21, 2024 |
| Last updated in NPPES | October 21, 2024 |
| Certification date | October 20, 2024 |
| Mailing address | 6275 Rivoli Dr, Macon, GA 31210-1456 |
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