Grace T. Duque-Dizon, Md, Pc

LBN: Grace T. Duque-Dizon, Md, Pc
Grace T. Duque-Dizon, Md, Pc is an health care organization with primary practice located at 101 Greensboro Rd , Eatonton GA 31024-6054. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Grace T. Duque-Dizon, Md, Pc can be contacted via phone (478) 621-0905, or through Duque Dizon, Grace T via phone (478) 621-0905.

Contact Information

Primary practice address
101 Greensboro Rd Eatonton GA 31024-6054
Phone: (478) 621-0905
Fax: (478) 742-0854
Website:
Map and Directions
Authorized official contact:
Name: Duque Dizon, Grace T Doctor of Medicine (MD)
Phone: (478) 621-0905

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X Georgia

Profile Details

NPI number 1154488922
LBN Legal business name Grace T. Duque-Dizon, Md, Pc
DBA Doing business as
Authorized official Duque Dizon, Grace T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154488922 NPPES
Georgia Other DB9533 RAIL ROAD MEDICARE GROUP

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