Organization
GENERAL SURGERY OF MIDDLE GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES H MANN III MD (OWNER)
(478) 448-4949
Entity
Organization
Contact information
Practice address
1111 GRIFFIN AVE, SUITE 1A, EASTMAN, GA 31023-9101
(478) 448-4949
(478) 448-4435
Mailing address
PO BOX 4128, EASTMAN, GA 31023-4128
(478) 448-4949
(478) 448-4435
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26591
GA
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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