Organization
SOUTH GEORGIA HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS MOSS MD (OWNER)
(229) 259-9962
Entity
Organization
Contact information
Practice address
3215 N OAK STREET EXT STE D, VALDOSTA, GA 31605-7439
(229) 259-9962
(229) 259-9941
Mailing address
814 NORTHWOOD PARK DR, VALDOSTA, GA 31602-1398
(229) 259-9962
(229) 259-9941
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
041178
GA
Other
Enumeration date
01/13/2011
Last updated
01/19/2011
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