Organization
WAYCROSS ORTHOPAEDICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL B. TATUM (OFFICE ASSISTANT)
(912) 283-8444
Entity
Organization
Contact information
Practice address
2002 ALICE ST, WAYCROSS, GA 31501-6210
(912) 283-8444
(912) 283-7132
Mailing address
PO BOX 2265, WAYCROSS, GA 31502-2265
(912) 283-8444
(912) 283-7132
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
28435
GA
Other
Enumeration date
05/27/2006
Last updated
08/22/2020
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