Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Sep 19, 2005
License(s)
027336 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 275 | Waycross, GA 31502-0275 | 912-283-1699 |
| LOCATION | 1096 WOOD VALLEY RD | Waycross, GA 31503-8586 | 912-283-1699 |
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