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Organization
ORAL SURGERY GROUP OF COASTAL GEORGIA, LLC
Active
Organization
ORAL SURGERY GROUP OF COASTAL GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JAMES CFO (CFO)
(502) 254-8500
Entity
Organization
Contact information
Practice address
506 US HIGHWAY 80 W, POOLER, GA 31322
(912) 330-9229
(912) 330-9220
Mailing address
506 US HIGHWAY 80 W, POOLER, GA 31322-2104
(912) 330-9229
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN013242
GA
Other
Enumeration date
03/27/2007
Last updated
08/24/2018
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