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PHYSICIAN SUPPORT ASSOCIATES PC

Medical Equipment Supplier Yellow Pages

Macon, Georgia

Provider NPI: 1013089994

Organization Information:
Organization Name:  PHYSICIAN SUPPORT ASSOCIATES PC


Practice Location:
1021 DAISY PARK  MACON, GA 31201 US
Tel: 478-746-2842  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
N3336C0004XSuppliers
Pharmacy
Y3336H0001XSuppliers
Pharmacy
GAPHRE006546

Other Provider Identifiers:

IssuerNumberStateType
NCPDP PROVIDER IDENTIFICATION NUMBER114033601
000320251AGA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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