Enterprise Family Healthcare

Specialty details in registry · Macon, GA

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At a glance

2192 Ingleside Ave, Macon, GA 31204-2030

NPPES record updated Jan 10, 2008. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

2192 Ingleside Ave
Macon, GA 31204-2030

Professional details: NPI, taxonomy & registry record

NPI1760668586

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QP2300X
Enumeration date: Jan 10, 2008
Record updated: Jan 10, 2008

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QP2300X · Primary

License reported: 040767 GA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2192 Ingleside Ave
Macon, GA 31204-2030

Phone: (478) 745-9880
Fax: (478) 745-8611

Mailing address

2192 INGLESIDE AVE

MACON, GA 312042030

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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