Organization
ORTHOPEDIC SURGEONS OF GEORGIA LLC
Active
Other names
Orthopedic Surgeons of Georgia - Homerville
Organization subpart
No
Provider details
NPI number
Authorized official
LAVONDA LOTT CRAVEY (VP OF CORPORATE REVENUE CYCLE)
(912) 384-1900
Entity
Organization
Contact information
Practice address
1050 VALDOSTA HWY, HOMERVILLE, GA 31634-9701
(912) 383-6575
(912) 383-6476
Mailing address
PO BOX 1377, DOUGLAS, GA 31534-1377
(912) 384-1477
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
05/09/2018
Last updated
03/30/2022
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