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Organization
ORTHOPEDIC SURGEONS OF GEORGIA LLC
Active
Organization
ORTHOPEDIC SURGEONS OF GEORGIA LLC
Active
Other names
Orthopedic Surgeons of Georgia
Organization subpart
No
Provider details
NPI number
Authorized official
LAVONDA LOTT CRAVEY (CONTROLLER)
(912) 384-1900
Entity
Organization
Contact information
Practice address
11 CROSS ST, HAZLEHURST, GA 31539-6427
(912) 384-2500
(912) 383-6788
Mailing address
PO BOX 1377, DOUGLAS, GA 31534-1377
(912) 384-1477
(912) 394-1470
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
05/10/2018
Last updated
03/30/2022
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