Individual
LARRY ALAN MEDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
417 W 3RD AVE, ALBANY, GA 31701-1943
(229) 312-1000
Mailing address
229 LAUREL LN, LIZELLA, GA 31052-3749
(478) 935-9953
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
73584
GA
Other
Enumeration date
12/15/2008
Last updated
03/17/2018
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