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1326335993
SOUTH GEORGIA MEDICAL PRACTICE
VALDOSTA, GA
NPI
1326335993
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Entity Type
Organization
Authorized Contact
JAROD F BAILEY
Owner
229-245-1480
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2011-07-05
Last Update Date
2011-07-05
Business Address
SOUTH GEORGIA MEDICAL PRACTICE
2704 N OAK ST BLDG A2
VALDOSTA, GA 31602-5900
Phone number: 229-245-1480
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Mailing Address
SOUTH GEORGIA MEDICAL PRACTICE
2704 N OAK ST BLDG A2
VALDOSTA, GA 31602-5900
Phone number: 229-245-1480
Copy
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