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Organization
SOUTH GEORGIA SURGICAL CLINIC PC
Active
Organization
SOUTH GEORGIA SURGICAL CLINIC PC
Active
Other names
SOUTH GEORGIA SURGICAL CLINIC PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL M JOHNSON MD (PRESIDENT)
(229) 382-9733
Entity
Organization
Contact information
Practice address
1007 GREENFIELD DR, TIFTON, GA 31794-3795
(229) 382-9733
(229) 387-6161
Mailing address
1007 GREENFIELD DR, TIFTON, GA 31794-3795
(229) 382-9733
(229) 387-6161
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
GA
Other
Enumeration date
03/30/2006
Last updated
07/21/2022
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