D.w. Adcock Orthopaedic Clinic, LLC

NPI #1588844716 in Moultrie, Georgia

Provider Information

NPI Number: 1588844716
Entity Type: Organization
Organization Name: D.w. Adcock Orthopaedic Clinic, LLC
Primary Specialty: Specialist
Enumeration Date: Nov 5, 2007
Last Updated: Apr 13, 2009

Practice Location

Address: 3 MAGNOLIA CT
City: Moultrie
State: Georgia
ZIP Code: 31768-6764
Phone: (229) 891-9028

Authorized Official

Name: JUDY B RICKS
Title: PROVIDER ENROLLMENT COORDINATOR
Phone: (229) 891-9131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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