OrganizationActive
Mip Medical Management
NPI 1376813451 · Pain Medicine Physician · Macon, GA
Provider details
- NPI number
- 1376813451
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Cynthia Tate, Administrator
- License
- 45394335 (GA)
Practice location
833 Walnut St
Macon, GA 31201-2617
Phone: (478) 741-5901
Fax: (478) 741-5904
Mailing address
833 Walnut St
Macon, GA 31201-2617
Registry dates
- Enumerated
- 2012-01-06
- Last updated
- 2013-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.