Individual
DR. MICHAEL B DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
770 PINE ST STE 210, MACON, GA 31201-7512
(478) 845-7630
(478) 216-9178
Mailing address
770 PINE ST STE 210, MACON, GA 31201-7512
(478) 845-7630
(478) 216-9178
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
73005
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
581087004
FEI
—
Enumeration date
11/17/2006
Last updated
02/20/2019
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