Organization
GEORGIA SPINE & ORTHOPEDICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WINSTON R JESHURAN MD (ORTHOPEDIC SPINE SURGEON)
(478) 787-6255
Entity
Organization
Contact information
Practice address
310 HOSPITAL DR STE 210, MACON, GA 31217-8026
(478) 787-6255
(478) 812-8700
Mailing address
PO BOX 26984, MACON, GA 31221-6984
(478) 719-8895
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
59432
GA
Other
Enumeration date
09/09/2015
Last updated
03/17/2018
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