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Individual

DR. GEORGE SIDNEY STATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
410 CONNELL ROAD, VALDOSTA, GA 31602
(229) 244-4720
(229) 316-0471
Mailing address
410 CONNELL RD, VALDOSTA, GA 31602-1898
(229) 244-4720
(229) 316-0471

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2006-00103
NC
207RC0000X
Cardiovascular Disease Physician
Primary
63539
GA

Other

Enumeration date
04/11/2006
Last updated
03/17/2014
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