Individual
DR. LARRY L MEDDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2319 PRINCE AVE, ATHENS, GA 30606-6030
(706) 354-1625
(706) 543-4155
Mailing address
2319 PRINCE AVE, ATHENS, GA 30606-6030
(706) 354-1625
(706) 543-4155
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
019078
GA
Other
Enumeration date
07/18/2006
Last updated
07/09/2007
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