Individual provider · Type 1 NPI

Mary C. Siror, NP

Nurse Practitioner · Macon, GA

NPI number 1508379090 Active

Practice location

308 Coliseum Dr Ste 120
Macon, GA 31217-3859

Fax (478) 745-4443

Mailing address

308 Coliseum Dr
Macon, GA 31217-3865

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN160662 (GA)
Family Nurse Practitioner 363LF0000XRN160662 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1508379090

Mary C. Siror, NP's National Provider Identifier is 1508379090, issued on Nov 7, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Macon, GA. The record was last updated on Oct 13, 2025.