Provider Demographics
NPI:1003863788
Name:FAMILY BEHAVIORAL CARE OF CENTRAL GA, PC
Entity Type:Organization
Organization Name:FAMILY BEHAVIORAL CARE OF CENTRAL GA, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:Y
Authorized Official - Last Name:FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:478-474-4265
Mailing Address - Street 1:3985 ARKWRIGHT RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-1774
Mailing Address - Country:US
Mailing Address - Phone:478-474-4265
Mailing Address - Fax:478-474-7863
Practice Address - Street 1:3985 ARKWRIGHT RD
Practice Address - Street 2:SUITE 102
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31210-1774
Practice Address - Country:US
Practice Address - Phone:478-474-4265
Practice Address - Fax:478-474-7863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Single Specialty
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic PsychiatryGroup - Single Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP2866Medicare ID - Type Unspecified