Individual
DR. JAMES B. MACON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
40944
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C07109
BCBS
MA
Enumeration date
09/23/2006
Last updated
01/07/2021
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