Organization
AZALEA NEURO AND SPINE CLINIC PC
Active
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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