Registry details
Type
Individual
Primary specialty
Anesthesiology, Pain Medicine
Enumerated
May 22, 2007
License(s)
ME136132 (FL), ME136132 (FL), 85478 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 7351 OLD MOON RD | Columbus, GA 31909-7291 | 706-653-7000 |
| MAILING | 7351 OLD MOON RD | Columbus, GA 31909-7291 | 706-653-7000 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.