Organization
WAYNE SJC MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL HINCHEY (PRESIDENT/CEO)
(912) 819-6901
Entity
Organization
Contact information
Practice address
330 PEACHTREE ST, SUITE 2, JESUP, GA 31545-0244
(912) 427-6915
(912) 427-4455
Mailing address
330 PEACHTREE ST, SUITE 2, JESUP, GA 31545-0244
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
025763
GA
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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