Orthopedic Surgeons of Georgia LLC

NPI #1396084158 in Waycross, Georgia

Provider Information

NPI Number
1396084158
Entity Type
Organization
Organization Name
Orthopedic Surgeons of Georgia LLC
Subpart
Yes (part of a larger organization)
Parent Organization
ORTHOPEDIC SURGEONS OF GEORGIA, LLC
Primary Specialty
Orthopaedic Surgery
Enumeration Date
Feb 13, 2013
Last Updated
Apr 9, 2015

Practice Location

Address
2015 ALICE ST
State
Georgia
ZIP Code
31501-6209
Phone
(912) 548-0590

Authorized Official

Name
MRS. LAVONDA L. CRAVEY
Title
CONTROLLER
Phone
(912) 383-5600

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery

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Provider Name
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