Georgia Physician South,pc
NPI #1639381171 in Blackshear, Georgia
Provider Information
- NPI Number
- 1639381171
- Entity Type
- Organization
- Organization Name
- Georgia Physician South,pc
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- May 4, 2007
- Last Updated
- Mar 26, 2015
Practice Location
- Address
- 120 CARTER AVE
- City
- Blackshear
- State
- Georgia
- ZIP Code
- 31516
- Phone
- (912) 449-4426
Authorized Official
- Name
- SUSAN E BRICKLE, MD
- Title
- LAB SUPERVISOR
- Phone
- (912) 449-4426
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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