Organization
UPSON ORTHOPAEDIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE B RUCKER (OFFICE MGR)
(706) 646-4371
Entity
Organization
Contact information
Practice address
612 W GORDON ST, STE A, THOMASTON, GA 30286-3416
(706) 646-4371
(706) 646-4373
Mailing address
612 W GORDON ST, STE A, THOMASTON, GA 30286-3416
(706) 646-4371
(706) 646-4373
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
041777
GA
Other
Enumeration date
04/26/2007
Last updated
08/13/2008
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