Individual
PRESTON CHANDLER DELAPERRIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3356 VINEVILLE AVE, MACON, GA 31204-2328
(478) 476-9642
(478) 476-9976
Mailing address
3356 VINEVILLE AVE, MACON, GA 31204-2328
(478) 476-9642
(478) 476-9976
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
36365
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00647072A
—
GA
Enumeration date
11/09/2005
Last updated
04/23/2013
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