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

Palmyra Surgical, LLC

Organization Surgery Physician · NPI 1851660443

Palmyra Surgical, LLC is a Surgery Physician in Macon, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
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 31210-4854
Phone: (229) 432-8484
Fax: (229) 432-8487
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 45711 (GA)

Record details

NPI number1851660443
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vito Bagnato — Owner/President · (229) 432-8484
Other names Palmyra Surgical, Llc (Macon)
NPI enumeratedDecember 28, 2011
Last updated in NPPESDecember 28, 2011
Mailing address810 13th Ave Ste 108, Albany, GA 31701-1333

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