Organization
GEORGIA BONE & JOINT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
1015 LAFAYETTE PKWY STE 210, LAGRANGE, GA 30241-3584
(770) 254-7843
Mailing address
1755 HIGHWAY 34 E STE 2200, NEWNAN, GA 30265-3190
(770) 254-7843
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
12/05/2024
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