is a Surgery in Baxley, Georgia. practices all healthcare services and medical treatments related to Surgery. The NPI Number for is 1104036359. The last update date is .
's current location address is 950 S Main St, Baxley, Georgia. You can contact this provider via phone number 9123678499. The mailing address for is 950 S Main St, Baxley, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 950 S Main St, Baxley, Georgia |
| Phone Number | 9123678499 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1104036359 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 950 S Main St |
|---|---|
| City | Baxley |
| State | Georgia (GA) |
| Post Code | 315130161 |
| Phone Number | 9123678499 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 68488 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 003127563B | GA | -- |
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