Organization
GEORGIA HYPERBARIC AND WOUND CONSULTING, LLC
Active
Organization
GEORGIA HYPERBARIC AND WOUND CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN VIRGIL SPENCE M.D. (PRESIDENT)
(770) 309-6636
Entity
Organization
Contact information
Practice address
101 HARRIS INDUSTRIAL BLVD STE 8, VIDALIA, GA 30474-8852
(770) 309-6636
Mailing address
101 HARRIS INDUSTRIAL BLVD STE 8, VIDALIA, GA 30474-8852
(770) 309-6636
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
55572
GA
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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