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Organization

SOUTH GEORGIA SPINE AND JOINT CENTER, LLC

Active
Other names
South Georgia Spine and Joint Center
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL R WALDROP SR. D.C. (OWNER/DOCTOR)
(229) 416-4457
Entity
Organization

Contact information

Practice address
517 S SCOTT ST, BAINBRIDGE, GA 39819-4101
(229) 416-4457
(229) 416-4461
Mailing address
517 S SCOTT ST, BAINBRIDGE, GA 39819-4101
(229) 416-4457
(229) 416-4461

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
208VP0000X
Pain Medicine Physician
Primary
225100000X
Physical Therapist
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
07/14/2015
Last updated
07/14/2015
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