Provider Demographics
NPI:1326630153
Name:THE MEDICAL CENTER OF CENTRAL GEORGIA INC
Entity Type:Organization
Organization Name:THE MEDICAL CENTER OF CENTRAL GEORGIA INC
Other - Org Name:ATRIUM HEALTH NAVICENT EMERGENCY MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHREWSBURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-633-1452
Mailing Address - Street 1:675 NEW ST
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-2176
Mailing Address - Country:US
Mailing Address - Phone:478-633-0117
Mailing Address - Fax:478-633-8825
Practice Address - Street 1:675 NEW ST
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-2176
Practice Address - Country:US
Practice Address - Phone:478-633-0117
Practice Address - Fax:478-633-8825
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE MEDICAL CENTER OF CENTRAL GEORGIA INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-02-03
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport