Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Jun 8, 2005
License(s)
036673 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3527 N VALDOSTA RD | Valdosta, GA 31602-1068 | 229-247-2290 |
| LOCATION | 3527 N VALDOSTA RD | Valdosta, GA 31602-1068 | 229-247-2290 |
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.