Provider Demographics
NPI:1942231519
Name:FILIMON, DRAGOS A (MD)
Entity type:Individual
Prefix:
First Name:DRAGOS
Middle Name:A
Last Name:FILIMON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:127 MAIN ST
Mailing Address - Street 2:P.O. BOX 39
Mailing Address - City:GORDON
Mailing Address - State:GA
Mailing Address - Zip Code:31031-3841
Mailing Address - Country:US
Mailing Address - Phone:478-628-1636
Mailing Address - Fax:478-628-1639
Practice Address - Street 1:127 N MAIN ST SW
Practice Address - Street 2:
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061-5210
Practice Address - Country:US
Practice Address - Phone:478-628-1636
Practice Address - Fax:478-628-1639
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA058125207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA803300847AMedicaid
GAI55254Medicare UPIN