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Individual

JASON MICHAEL GEDDINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AA

Contact information

Practice address
2310 N PATTERSON ST BLDG C, VALDOSTA, GA 31602-2500
(229) 244-6852
(229) 242-2385
Mailing address
2310 N PATTERSON ST BLDG C, VALDOSTA, GA 31602-2500
(229) 244-6852
(229) 242-2385

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
005671
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005671
GEORGIA LICENSE
GA
Enumeration date
10/06/2009
Last updated
10/06/2009
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