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Individual

DR. DAVID T PLAXICO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
2076 INGLESIDE AVE, MACON, GA 31204-2028
(478) 743-9376
(478) 743-4670
Mailing address
2076 INGLESIDE AVE, MACON, GA 31204-2028
(478) 743-9376
(478) 743-4670

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
022621
GA

Other

Enumeration date
10/10/2005
Last updated
07/09/2007
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