Organization
MGO SPINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNDI WRIGHT (CREDENTIALING SPECIALIST)
(478) 953-4563
Entity
Organization
Contact information
Practice address
3051 WATSON BLVD STE 400, WARNER ROBINS, GA 31093-8556
(478) 953-4563
(478) 953-4564
Mailing address
3051 WATSON BLVD STE 400, WARNER ROBINS, GA 31093-8556
(478) 953-4563
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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