Organization
VOA AMBULATORY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KENDRICK M.D. (MEDICAL DIRECTOR)
(229) 253-9336
Entity
Organization
Contact information
Practice address
3527 B NORTH VALDOSTA ROAD, VALDOSTA, GA 31602
(229) 253-9336
(229) 253-9345
Mailing address
3527B N VALDOSTA RD, VALDOSTA, GA 31602-1068
(229) 253-9336
(229) 253-9345
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
092165
GA
Other
Enumeration date
12/14/2006
Last updated
12/18/2007
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