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1720224298
SOUTHERN SKIN & WELLNESS CENTER
VALDOSTA, GA
NPI
1720224298
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Entity Type
Organization
Authorized Contact
RICHARD ANTHONY AMBROZIC
President
229-242-9310
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2009-01-05
Last Update Date
2015-03-16
Business Address
SOUTHERN SKIN & WELLNESS CENTER
3321 N VALDOSTA RD STE B
VALDOSTA, GA 31602-1685
Phone number: 229-242-9310
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Mailing Address
SOUTHERN SKIN & WELLNESS CENTER
3321 N VALDOSTA RD STE B
VALDOSTA, GA 31602-1685
Phone number: 229-242-9310
Copy
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