Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Jun 9, 2010
License(s)
074247 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 7217 | Columbus, GA 31908-7217 | 706-322-6646 |
| LOCATION | 2300 MANCHESTER EXPY STE 101A | Columbus, GA 31904-6802 | 706-322-6646 |
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