Whalio Doctors

NPI 1306823034

Grace Duque-Dizon, MD

Practitioner Interventional Pain Medicine Physician Macon, GA

Practice location

Address
3356 Vineville Ave, Macon, GA 31204-2328
Phone
(478) 476-9642
Fax
(478) 476-9976

Registered specialties

Interventional Pain Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 019935 (GA)

Registry record

NPI
1306823034
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Dec 2005
Record last updated
30 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.