Individual
DILLON JAMES MACKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(407) 242-9173
Mailing address
520 BRIGADIER LNDG, GROVETOWN, GA 30813-3360
(407) 242-9173
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
93966
GA
Other
Enumeration date
05/09/2021
Last updated
12/07/2022
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