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Individual

DR. EDWARD MOTTERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
102 GREGOR MENDEL CIR, GREENWOOD, SC 29646-2315
(864) 229-2663
Mailing address
300 EAST HOSPITAL ROAD, FT. GORDON, GA 30905-5650
(706) 787-6158
(706) 787-2565

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
75167
GA
207X00000X
Orthopaedic Surgery Physician
Primary
91784
SC

Other

Enumeration date
06/24/2014
Last updated
07/11/2024
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