Physician Consultants of Georgia Interventional LLC
Physician Consultants of Georgia Interventional LLC is an Ambulatory Surgical Clinic/Center in Macon, Georgia. Licensed in Georgia. Registered with an NPI since 2013.
- Licensed in
- GA
- In the registry since
- 2013
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1445 Georgia Ave Ste 1Macon, GA 31201-7610
Phone: (478) 250-1328
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence 055819 (GA) |
|---|---|
| Ambulatory Surgical Clinic/Center | Taxonomy 261QA1903X · Licence 055819 (GA) |
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Taxonomy 261QE0700X · Licence 055819 (GA) |
Record details
| NPI number | 1316389836 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Reuben Ellis — Proprietor · (478) 250-1328 |
| Other names | Midtown Vascular Center; Midtown Vascular Center |
| NPI enumerated | July 25, 2013 |
| Last updated in NPPES | November 19, 2020 |
| Certification date | November 19, 2020 |
| Mailing address | Po Box 4461, Macon, GA 31208-4461 |
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Macon Vascular Care, LLC
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