Organization
D.W. ADCOCK ORTHOPAEDIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY B RICKS (PROVIDER ENROLLMENT COORDINATOR)
(229) 891-9131
Entity
Organization
Contact information
Practice address
3 MAGNOLIA CT, MOULTRIE, GA 31768-6764
(229) 891-9028
(229) 891-9133
Mailing address
PO BOX 2169, MOULTRIE, GA 31776-2169
(229) 891-9028
(229) 891-9033
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/05/2007
Last updated
04/13/2009
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