Organization
GENERAL AND THORACIC SURGERY OF GEORGIA,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PICKETT (VP)
(678) 762-5037
Entity
Organization
Contact information
Practice address
2400 BELLEVUE RD, ERIN OFFICE PARK # 11, DUBLIN, GA 31021-2885
(478) 274-1114
(478) 274-1016
Mailing address
2400 BELLEVUE RD, ERIN OFFICE PARK # 11, DUBLIN, GA 31021-2885
(478) 274-1114
(478) 274-1016
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/07/2006
Last updated
10/01/2007
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