NPI age
17 years
Enumerated 2009-04-22
● Active Type 2 · Organization
Lillette A Intaphan MD Llc
Lillette A Intaphan MD Llc is 1 of 5027 internal medicine organizations in Georgia.
Primary specialty
Internal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Intaphan
Mdc
Last NPPES update
2009-10-19
Source: monthly bulk 2026-05
How this organization compares
Across 5027 active internal medicine providers in Georgia.
NPI age
17 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-04Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
432 Poplar St, Suite B
MacOn, GA 312013336
Mailing address
Po Box 26040
MacOn, GA 312216040
Authorized official
Lillette A Intaphan
Mdc
📞 4784751299
Specialties
-
Internal Medicine PrimaryA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | DP2683 | RR MDC |
Practice context
Single-site organization. Only one practice location on file.
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