Organization
MACON GYNECOLOGIC ONCOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL B DILLON MD (PROVIDER)
(478) 845-7630
Entity
Organization
Contact information
Practice address
770 PINE ST STE 210, MACON, GA 31201-7512
(478) 845-7630
(478) 216-9178
Mailing address
770 PINE ST STE 210, MACON, GA 31201-7512
(478) 845-7630
(478) 216-9178
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
73005
GA
Other
Enumeration date
12/03/2015
Last updated
04/09/2019
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