Organization
CENTRAL GA HEAD &NECK SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
C. WARREN DUNN MD (PRESIDENT)
(478) 743-8953
Entity
Organization
Contact information
Practice address
540 HEMLOCK ST, MACON, GA 31201-3202
(478) 743-8953
(478) 743-1963
Mailing address
540 HEMLOCK ST, MACON, GA 31201-3202
(478) 743-8953
(478) 743-1963
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000822324A
—
GA
Enumeration date
06/03/2006
Last updated
06/24/2008
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