Organization
SOUTH GEORGIA MEDICAL PRACTICE
Active
Organization
SOUTH GEORGIA MEDICAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAROD F BAILEY D.O. (OWNER)
(229) 245-1480
Entity
Organization
Contact information
Practice address
2704 N OAK ST BLDG A2, VALDOSTA, GA 31602-5900
(229) 245-1480
Mailing address
2704 N OAK ST BLDG A2, VALDOSTA, GA 31602-5900
(229) 245-1480
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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