OrganizationActive
Function & Health Professionals LLC
NPI 1376917591 · Medical Specialty Clinic/Center · Macon, GA
Provider details
- NPI number
- 1376917591
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Tiquella King-Whitby, Ceo
- License
- 58891 (GA)
Mailing address
Po Box 20731
Macon, GA 31205-0731
Registry dates
- Enumerated
- 2015-11-27
- Last updated
- 2015-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.