General Surgery of Middle Georgia, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

26591 Issued in GA

Legal business name

GENERAL SURGERY OF MIDDLE GEORGIA, LLC

Practice address

1111 Griffin Ave
Suite 1a
Eastman, GA 31023-9101

Phone

(478) 448-4949

Fax

(478) 448-4435

NPI assigned

May 6, 2009

Last updated

May 6, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles H Mann III, MD

Title

Owner

Phone

(478) 448-4949

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1225262165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4128",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310234128",
            "telephone_number": "478-448-4949",
            "fax_number": "478-448-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GRIFFIN AVE",
            "address_2": "SUITE 1A",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310239101",
            "telephone_number": "478-448-4949",
            "fax_number": "478-448-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL SURGERY OF MIDDLE GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-448-4949",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "26591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Evans, PHARMD
• Fasttrack Immediate Care of Eastman LLC
• Wilfred Preston Ferguson Sr., M.D.
• Amber Devan Garrett, M. ED CCC-SLP
• Whitney Ward Garrett, FNP-C
• Emil B Georgi, MD
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• Surgery Physician in Eastman, GA
• Providers in Eastman, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.