Antonio Gobenciong, M.D.

NPI #1164954319 in Macon, Georgia

Provider Information

NPI Number: 1164954319
Entity Type: Individual
Name: Antonio Gobenciong, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Mar 28, 2017
Last Updated: Dec 22, 2021

Practice Location

Address: 3780 EISENHOWER PKWY
City: Macon
State: Georgia
ZIP Code: 31206-0800
Phone: (478) 633-5550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Student in an Organized Health Care Education/Training Program	390200000X
Family Medicine	207Q00000X	Primary

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