Registry details
Type
Individual
Primary specialty
Family Medicine
Enumerated
May 3, 2021
License(s)
100254 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 200 INDUSTRIAL BLVD | Dublin, GA 31021-2981 | 478-275-2000 |
| LOCATION | 200 INDUSTRIAL BLVD | Dublin, GA 31021-2981 | 478-275-2000 |
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.