C. Wayne Dodgen, Md, Pc in Macon - Family Medicine
C. Wayne Dodgen, Md, Pc - NPI 1104022425
C. Wayne Dodgen, Md, Pc is a Family Medicine in Macon, Georgia. C. Wayne Dodgen, Md, Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for C. Wayne Dodgen, Md, Pc is 1104022425. The last update date is 2020-08-22.
C. Wayne Dodgen, Md, Pc's current location address is Po Box 4867, Macon, Georgia. You can contact this provider via phone number 7066478101 and fax number 7066478543. The mailing address for C. Wayne Dodgen, Md, Pc is Po Box 4867, Macon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | C. Wayne Dodgen, Md, Pc |
|---|---|
| Address | Po Box 4867, Macon, Georgia |
| Phone Number | 7066478101 |
| Fax Number | 7066478543 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Dodgen Wayne Charles |
| Credentials | M.D. |
| Telephone Number | 7066478101 |
NPI Number Detail
| NPI Number | 1104022425 |
|---|---|
| Provider Enumeration Date | 2007-06-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 4867 |
|---|---|
| City | Macon |
| State | Georgia (GA) |
| Post Code | 312084867 |
| Phone Number | 7066478101 |
| Fax Number | 7066478543 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11DO948247 | GA | CLIA # |
Post Comment/ Review Below
What is the unique identifier code issued to C. Wayne Dodgen, Md, Pc by the Centers for Medicare & Medicaid Services?
The C. Wayne Dodgen, Md, Pc has been assigned the NPI (National Provider Identifier) 1104022425. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the C. Wayne Dodgen, Md, Pc located?
The C. Wayne Dodgen, Md, Pc is located at Po Box 4867, Macon, GA 312084867.
What is the C. Wayne Dodgen, Md, Pc's area of specialization and corresponding taxonomy classification?
The C. Wayne Dodgen, Md, Pc's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
When was the C. Wayne Dodgen, Md, Pc's 1104022425 issued?
The C. Wayne Dodgen, Md, Pc's 1104022425 was issued on 2007-06-24.
As of what date were the details related to C. Wayne Dodgen, Md, Pc most recently updated or revised?
The information pertaining to C. Wayne Dodgen, Md, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.