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1053429688
SOUTHEAST GEORGIA PRIMARY CARE
WAYCROSS, GA
NPI
1053429688
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Entity Type
Organization
Authorized Contact
MATTHEW G PROHASKA
Doctor
912-283-1359
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-08-25
Last Update Date
2020-08-22
Business Address
SOUTHEAST GEORGIA PRIMARY CARE
409 UVALDA ST
WAYCROSS, GA 31501-4574
Phone number: 912-283-1359
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Mailing Address
SOUTHEAST GEORGIA PRIMARY CARE
409 UVALDA ST
WAYCROSS, GA 31501-4574
Phone number: 912-283-1359
Copy
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