Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 83363 | GA |
NPI | 1528328556 |
---|---|
Provider Name | Dr. David Alan Lovejoy JR. |
First Address | Macon, GA 31201-8314 |
Second Address | Macon, GA 31201-8314 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2012 |
Last Update Date | 26/06/2020 |