Organization
VALDOSTA ORTHOPEDIC ASSOCIATES PC
Active
Other names
Valdosta Orthopedic Associates
Organization subpart
No
Provider details
NPI number
Authorized official
OSCAR E AGUERO JR. MD (PRESIDENT)
(229) 247-2290
Entity
Organization
Contact information
Practice address
3527 N VALDOSTA ROAD, VALDOSTA, GA 31602-1068
(229) 247-2290
(229) 244-2626
Mailing address
3527 N VALDOSTA ROAD, VALDOSTA, GA 31602-1068
(229) 247-2290
(229) 244-2626
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000304554D
—
GA
05
—
000327973B
—
GA
05
—
000544662A
—
GA
05
—
000653353A
—
GA
05
—
000954445A
—
GA
01
—
GRP1215
MEDICARE PTAN
GA
Enumeration date
01/30/2007
Last updated
04/14/2021
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