Individual
WILEY LADON DRURY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 N PATTERSON ST, VALDOSTA, GA 31602-1735
(229) 244-6852
(229) 242-2385
Mailing address
PO BOX 490, VALDOSTA, GA 31603-0490
(229) 244-6852
(229) 242-2385
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
012455
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00084279A
—
GA
Enumeration date
03/08/2006
Last updated
07/09/2007
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