Individual
MICHAEL LORADITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
777 HEMLOCK ST, HOSPITAL BOX 64, MACON, GA 31201-2102
(478) 633-2097
(478) 633-7836
Mailing address
103 WALDORF DR, PERRY, GA 31069-8741
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002049
GA
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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