Individual
DAVID SISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 HEMLOCK ST # 165, MACON, GA 31201-2102
(478) 633-1000
Mailing address
777 HEMLOCK ST # 165, MACON, GA 31201-2102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14518
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2022
Last updated
10/12/2023
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