MACON GYNECOLOGIC ONCOLOGY LLC NPI 1922473859

NPI Information

MACON GYNECOLOGIC ONCOLOGY LLC is a gynecologic oncology obstetrics gynecology in Macon, GA. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. MACON GYNECOLOGIC ONCOLOGY LLC NPI is 1922473859. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

770 PINE ST STE 210
MACON, GA
ZIP 31201-512
Phone: (478) 845-7630
Fax: (478) 216-9178

The provider's authorized official is Michael B Dillon .
The authorized official title is Provider and has the following contact phone number (478) 845-7630.

The enumeration date for this NPI number is 12/3/2015 and was last updated on 4/9/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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