Organization
SOUTH GA ORTHOPEDIC RESOURCES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY DEAN PARSON CO (OWNER, ORTHOTIST)
(229) 386-9829
Entity
Organization
Contact information
Practice address
1825 OLD OCILLA RD, TIFTON, GA 31794-1617
(229) 386-9829
(229) 386-9830
Mailing address
1825 OLD OCILLA RD, TIFTON, GA 31794-1617
(229) 386-9829
(229) 386-9830
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057062934A
—
GA
Enumeration date
12/06/2007
Last updated
06/25/2024
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