DR. GRACE DUQUE-DIZON M.D.
NPI 1306823034
Pain Medicine - Interventional Pain Medicine in Macon, GA

Active since December 22, 2005
3356 VINEVILLE AVE, MACON, GA 31204(478) 476-9642(478) 476-9976 Get Directions Write a Review

NPPES record last updated: November 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Grace Duque-dizon M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GRACE DUQUE-DIZON M.D. (NPI 1306823034) is an individual interventional pain medicine provider in Macon, Georgia, licensed in Georgia (019935) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1306823034
Entity TypeIndividualFemale
Primary Taxonomy208VP0014X
Provider Legal NameDR. GRACE DUQUE-DIZONCredential: M.D.
Location Address3356 VINEVILLE AVEMacon, GA 31204-2328
Mailing Address3356 Vineville AveMacon, GA 31204-2328 · (478) 476-9642 · Fax (478) 476-9976
Fax(478) 476-9976
Sole ProprietorNo
Enumeration DateDecember 22, 2005
Last NPPES UpdateNovember 30, 2009
NPI 1306823034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in GA · 019935
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
3356 VINEVILLE AVE, Macon, GA 31204

Other Identifiers 3

Medicare UPIND39754GA
Medicare ID-Type Unspecified05BDJXLGA
Medicaid000412244KGA

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Pain Medicine)
3356 VINEVILLE AVE
MACON, GA 31204
Nurse Practitioner
3356 VINEVILLE AVE
MACON, GA 31204
Pain Medicine (Interventional Pain Medicine)
3356 VINEVILLE AVE
MACON, GA 31204
Nurse Practitioner (Primary Care)
3356 VINEVILLE AVE
MACON, GA 31204
Pain Medicine (Interventional Pain Medicine)
3356 VINEVILLE AVE
MACON, GA 31204
Specialist
3356 VINEVILLE AVE
MACON, GA 31204
Pain Medicine (Pain Medicine)
3356 VINEVILLE AVE
MACON, GA 31204
Clinic/Center (Ambulatory Surgical)
3356 VINEVILLE AVE
MACON, GA 31204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Duque-dizon's NPI number?

The NPI number for Grace Duque-dizon is 1306823034. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Grace Duque-dizon located?

Grace Duque-dizon practices at 3356 Vineville Ave, Macon, GA 31204. The listed phone number is (478) 476-9642.

What is Grace Duque-dizon's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Grace Duque-dizon was last updated on November 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.