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1396763256
SOUTH GEORGIA REGIONAL ANESTHESIA, PC
VALDOSTA, GA
NPI
1396763256
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Entity Type
Organization
Authorized Contact
KIM S WILLS
Compliance Officer
229-671-2019
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2006-07-18
Last Update Date
2007-11-19
Business Address
SOUTH GEORGIA REGIONAL ANESTHESIA, PC
4280 N VALDOSTA RD
VALDOSTA, GA 31602-6814
Phone number: 229-219-0350
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Mailing Address
SOUTH GEORGIA REGIONAL ANESTHESIA, PC
PO BOX 3267
VALDOSTA, GA 31604-3267
Phone number: 229-219-0350
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