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JENNIFER C ACHEBE M.D.
Addiction Medicine >> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1760914733
Individual Registrant: JENNIFER C ACHEBE M.D.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
3780 EISENHOWER PKWY MACON, GA 31206-0800 US
Tel: 478-633-5550 Fax: 478-633-7287
Tel: 478-633-5550 Fax: 478-633-7287
Contact information for business:
3780 EISENHOWER PKWY MACON, GA 31206-0800 US
Tel: 478-633-5550 Fax: 478-633-7287
Tel: 478-633-5550 Fax: 478-633-7287
Registration Information:
NPI: 1760914733
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207QA0401X | Allopathic & Osteopathic Physicians Family Medicine Addiction Medicine | GA | 20207QA0401X |
| N | 390200000X | Student Organized Health Care Education/Training Program | ||
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | GA | 009139 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
