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Individual

DR. VICTOR MANUEL AYULO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
744 1ST ST, MACON, GA 31201
(478) 633-7600
(478) 633-7354
Mailing address
744 1ST ST, MACON, GA 31201-6840
(478) 633-7600
(478) 633-7354

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
010661
GA
208000000X
Pediatrics Physician
86764
SC
2080N0001X
Neonatal-Perinatal Medicine Physician
24912
NV
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/02/2018
Last updated
01/23/2024
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