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Organization
SOUTH GEORGIA SPINE AND JOINT CENTER, LLC
Active
Organization
SOUTH GEORGIA SPINE AND JOINT CENTER, LLC
Active
Other names
South Georgia Spine and Joint Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R WALDROP D.C. (OWNER)
(229) 226-1035
Entity
Organization
Contact information
Practice address
202 S MADISON ST, THOMASVILLE, GA 31792-5479
(229) 226-1035
(229) 226-3378
Mailing address
202 S MADISON ST, THOMASVILLE, GA 31792-5479
(229) 226-1035
(229) 226-3378
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
02/08/2010
Last updated
09/18/2013
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