Organization
EAST GEORGIA ORTHOPEDIC CENTER, PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE C JOHNSON (PRACTICE MANAGER)
(912) 871-6742
Entity
Organization
Contact information
Practice address
1601 FAIR RD, SUITE 300, STATESBORO, GA 30458-1698
(912) 871-2563
Mailing address
1601 FAIR RD, SUITE 300, STATESBORO, GA 30458-1698
(912) 871-2563
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
GA
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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