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Organization
SATILLA SPINE CENTER
Active
Organization
SATILLA SPINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LEFAND JR. D.C. (SECRETARY)
(912) 287-1414
Entity
Organization
Contact information
Practice address
228 RIVERSIDE DR, WAYCROSS, GA 31501-3541
(912) 287-1414
(912) 287-1884
Mailing address
228 RIVERSIDE DR, WAYCROSS, GA 31501-3541
(912) 287-1414
(912) 287-1884
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA4251
RAILROAD MEDICARE GROUP #
GA
01
—
GRP4251
MEDICARE GROUP NUMBER
GA
Enumeration date
10/09/2007
Last updated
10/09/2007
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