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Organization
C. WAYNE DODGEN, MD, PC
Active
Organization
C. WAYNE DODGEN, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES WAYNE DODGEN M.D. (CEO)
(706) 647-8101
Entity
Organization
Contact information
Practice address
107 JACKSON AVE, SUITE A, THOMASTON, GA 30286-3433
(706) 647-8101
(706) 647-8543
Mailing address
PO BOX 4867, MACON, GA 31208-4867
(706) 647-8101
(706) 647-8543
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
GA
Other
Enumeration date
06/24/2007
Last updated
08/22/2020
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