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

Palmyra Surgical, LLC

Organization Surgery Physician · NPI 1588868376

Palmyra Surgical, LLC is a Surgery Physician in Macon, Georgia. Registered with an NPI since 2007.

In the registry since
2007
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

420 Charter Blvd Ste 103
Macon, GA 31210-0717
Phone: (478) 471-8484
Fax: (478) 471-8487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1588868376
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vito Bagnato — President · (478) 471-8484
NPI enumeratedJune 13, 2007
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023
Mailing address420 Charter Blvd Ste 103, Macon, GA 31210-0717

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