Organization
ENSPHERE RESOURCES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM AGUDELO (OWNDER)
(478) 787-9153
Entity
Organization
Contact information
Practice address
3200 RIVERSIDE DR, SUITE B275, MACON, GA 31210-2550
(478) 787-9153
Mailing address
403 LAKEVIEW PL, MACON, GA 31211-6127
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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