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1104272780
ENT OF SOUTH GEORGIA SURGERY CENTER LLC
VALDOSTA, GA
NPI
1104272780
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Entity Type
Organization
Authorized Contact
RONALD V ALLEN
President
229-244-2562
Organization Subpart ?
Yes
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2016-05-12
Last Update Date
2017-05-03
Business Address
ENT OF SOUTH GEORGIA SURGERY CENTER LLC
2805 N OAK ST
VALDOSTA, GA 31602-5922
Phone number: 229-244-2562
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Mailing Address
ENT OF SOUTH GEORGIA SURGERY CENTER LLC
2805 N OAK ST
VALDOSTA, GA 31602-5922
Phone number: 229-244-2562
Copy
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