General and Thoracic Surgery of Georgia,llc

NPI #1629000195 in Dublin, Georgia

Provider Information

NPI Number: 1629000195
Entity Type: Organization
Organization Name: General and Thoracic Surgery of Georgia,llc
Primary Specialty: Surgery
Enumeration Date: Jul 7, 2006
Last Updated: Oct 1, 2007

Practice Location

Address: 2400 BELLEVUE RD
Address 2: ERIN OFFICE PARK # 11
City: Dublin
State: Georgia
ZIP Code: 31021-2885
Phone: (478) 274-1114

Authorized Official

Name: MARK PICKETT
Title: VP
Phone: (678) 762-5037

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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