Organization
MEDICAL SOUTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROMULO PEREZ NAVARRO M.D. (OWNER)
(912) 384-5832
Entity
Organization
Contact information
Practice address
1309 OCILLA RD, SUITE A, DOUGLAS, GA 31533-2209
(912) 384-5832
(912) 383-8279
Mailing address
PO BOX 1028, DOUGLAS, GA 31534-1028
(912) 384-5832
(912) 383-8279
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
023646
GA
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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