# SOUTH GEORGIA ORTHOPEDICS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134316920
- **Authorized official:** DR. RAYMOND DERRY CROSBY D.O. (CEO)
- **Authorized official phone:** (229) 247-2482

## Contact information

- **Practice address:** 2310 N PATTERSON ST, BLD. D, VALDOSTA, GA 31602-2568
- **Practice address phone:** (229) 247-2482
- **Practice address fax:** (229) 247-0827
- **Mailing address:** 2310 N PATTERSON ST, BLD. D, VALDOSTA, GA 31602-2568
- **Mailing address phone:** (229) 247-2482
- **Mailing address fax:** (229) 247-0827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 29316 | GA | Yes |

## Other

- **Enumeration date:** 09/26/2007
- **Last updated:** 08/05/2010