Provider First Line Business Practice Location Address:
2060 DAN PROCTOR DRIVE SUITE 2100
Provider Second Line Business Practice Location Address:
SOUTHEAST GEORGIA HEALTH SYSTEM
Provider Business Practice Location Address City Name:
ST. MARYS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31558
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
912-882-6767
Provider Business Practice Location Address Fax Number:
912-882-6411
Provider Enumeration Date:
02/08/2006