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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