Provider Demographics
NPI:1346884079
Name:COUNTY OF MACON
Entity type:Organization
Organization Name:COUNTY OF MACON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROCESSING ASSISTANT V
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:AINSWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-349-2058
Mailing Address - Street 1:108 WAYAH ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-3331
Mailing Address - Country:US
Mailing Address - Phone:828-349-2058
Mailing Address - Fax:
Practice Address - Street 1:108 WAYAH ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-3331
Practice Address - Country:US
Practice Address - Phone:828-349-2058
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF MACON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-06
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Single Specialty