Organization
SOUTH GEORGIA ORTHOPEDICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND DERRY CROSBY D.O. (CEO)
(229) 247-2482
Entity
Organization
Contact information
Practice address
2310 N PATTERSON ST, BLD. D, VALDOSTA, GA 31602-2568
(229) 247-2482
(229) 247-0827
Mailing address
2310 N PATTERSON ST, BLD. D, VALDOSTA, GA 31602-2568
(229) 247-2482
(229) 247-0827
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
29316
GA
Other
Enumeration date
09/26/2007
Last updated
08/05/2010
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