Individual
GERARDO BLANCO CHACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
380 HOSPITAL DR, MACON, GA 31217-8001
(478) 751-0514
Mailing address
672 MARTIN LUTHER KING JR BLVD APT 3, MACON, GA 31201-3283
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
17597
GA
Other
Enumeration date
04/02/2025
Last updated
05/30/2025
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