Michael Kornegay

NPI 1205528023 · on the registry since 2023 · sole proprietor

Practice

Address: 6020 Harrison Rd
Macon, GA 31206
Phone: (478) 785-2240
Organisation at this address: Mc Medical Llc
Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 156FX1800X
156FX1800X
Also registered as: 156FX1800X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-05-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia