Individual
DR. SAMUEL DION MACOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-4581
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 828-8401
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
052987
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G52987
—
SC
Enumeration date
08/19/2006
Last updated
02/15/2017
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