11D2033042 CLIA NUMBER - SOUTH GEORGIA SPINE AND JOINT CENTER

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Laboratory Demographics

CLIA Number: 11D2033042

Facility Name: SOUTH GEORGIA SPINE AND JOINT CENTER

Facility Address:
202 SOUTH MADISON STREET
THOMASVILLE, GA
ZIP 31792
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Facility Phone Number: 229 226-1035

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1770815250

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	11D2033042
LAB Type	Physician Office
Facility Name	SOUTH GEORGIA SPINE AND JOINT CENTER
Street	202 SOUTH MADISON STREET
City	THOMASVILLE
State	GA
ZIP	31792
Phone	229 226-1035
CertificateType	4
CertificateEffectiveDate	11/22/2023
CertificateExpirationDate	11/21/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024