Organization
ORTHOPEDIC SURGEONS OF GEORGIA, LLC
Active
Other names
Optim Pain Management - Tifton
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAVONDA CRAVEY (CONTROLLER)
(912) 383-5600
Entity
Organization
Contact information
Practice address
39 KENT RD, TIFTON, GA 31794-1698
(229) 387-8061
Mailing address
39 KENT RD, TIFTON, GA 31794-1698
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
GA
Other
Enumeration date
09/04/2013
Last updated
12/21/2016
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