Individual
DR. PAUL MACLYN DAINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL COLLEGE OF GA, SECTION OF HEM-ONC ,BAA-5407, 1120 15TH ST, AUGUSTA, GA 30912-3125
(706) 733-0188
(706) 721-8304
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602
(706) 828-8402
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
035233
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000486659A
—
GA
05
—
G35233
—
SC
Enumeration date
11/08/2005
Last updated
04/28/2011
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