Organization
AZALEA NEURO AND SPINE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HITHAM KHALIL MD (OWNER)
(229) 469-7271
Entity
Organization
Contact information
Practice address
2109 N PATTERSON ST, VALDOSTA, GA 31602-2990
(229) 469-7271
(844) 662-3122
Mailing address
2109 N PATTERSON ST, VALDOSTA, GA 31602-2990
(229) 469-7271
(844) 662-3122
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
06/12/2015
Last updated
11/02/2015
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