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RICHARD ACKERMANN MD
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1467428128
Individual Registrant: RICHARD ACKERMANN MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
3780 EISENHOWER PKWY MACON, GA 31206-0800 US
Tel: 478-633-5500 Fax: 478-784-3550
Tel: 478-633-5500 Fax: 478-784-3550
Contact information for business:
3780 EISENHOWER PKWY MACON, GA 31206-0800 US
Tel: 478-633-5500 Fax: 478-784-3550
Tel: 478-633-5500 Fax: 478-784-3550
Registration Information:
NPI: 1467428128
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | GA | 034759 |
| Y | 207QG0300X | Allopathic & Osteopathic Physicians Family Medicine | GA | 034759 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 000478035H | GA | 05 | |
| 000478035I | GA | 05 |
