Individual
ROBERT JONATHAN DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
840 PINE STREET SUITE 780, MACON, GA 31201
(478) 744-2445
(478) 744-0906
Mailing address
840 PINE STREET SUITE 780, MACON, GA 31201
(478) 744-2445
(478) 744-0906
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
031403
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000458587F
—
GA
01
—
P00292549
MEDICARE RAILROAD
GA
Enumeration date
11/22/2005
Last updated
11/01/2012
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