Medfast 2

NPI #1003857517 in Waycross, Georgia

Provider Information

NPI Number
1003857517
Entity Type
Organization
Organization Name
Medfast 2
Primary Specialty
Legal Medicine
Enumeration Date
Jun 8, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1405 ALICE ST
State
Georgia
ZIP Code
31501-4528
Phone
(912) 285-3157

Authorized Official

Name
GERARDO A KLUG, M.D.
Title
PRESIDENT
Phone
(912) 285-3157

Specialties & Taxonomy Codes

Specialty
Legal Medicine

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