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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
MRS. LAVONDA CRAVEY (CONTROLLER)
(912) 383-5600
Entity
Organization
Contact information
Practice address
100 DOCTORS DR, SUITE F, DOUGLAS, GA 31533-2210
(912) 383-6575
(229) 387-8064
Mailing address
100 DOCTORS DR, SUITE F, DOUGLAS, GA 31533-2210
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
11/25/2014
Last updated
09/07/2017
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