Grace T. Duque-Dizon, MD, PC
Organization Active NPI Pain Medicine (Anesthesiology) Physician · Eatonton, GA
NPI 1154488922 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1154488922
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- Legal business name
- GRACE T. DUQUE-DIZON, MD, PC
- Practice address
- 101 Greensboro Rd
Eatonton, GA 31024-6054 - Phone
- (478) 621-0905
- Fax
- (478) 742-0854
- NPI assigned
- Jan 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Grace T Duque Dizon, M.D.
- Title
- Owner - President
- Phone
- (478) 621-0905
Practitioners 1
-
Grace Duque-Dizon, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | GA | Yes |
Addresses
Primary practice location
101 Greensboro Rd
Eatonton, GA 31024-6054
Mailing address
PO Box 4207
Macon, GA 31208-4207
Phone (478) 621-0905
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB9533 | Other | GA | RAIL ROAD MEDICARE GROUP |
Other providers in Eatonton, GA
- Jameelah Jean Gater
- Georgia CVS Pharmacy, L.L.C.
- Golden Links Healthcare LLC
- Stacey Lyn Gothard
- Grace and Mercy Life Coach, LLC
- Desiree Green
- Greensboro Sports, Spine, &
- Eric Gregory
- Taylor Ellen Hall
- Hannah Meigan Miller DMD LLC
All providers in Eatonton, GA · Pain Medicine (Anesthesiology) Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.