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Individual

PROF. MALORA SHARAY OGLESBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
472 CONDUCTOR CT, JEFFERSON, GA 30549-3242
(706) 201-9809
Mailing address
472 CONDUCTOR CT, JEFFERSON, GA 30549-3242
(706) 201-9809

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
047612678
GA

Other

Enumeration date
10/23/2018
Last updated
10/23/2018
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