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General NPI Number Information
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NPI Number | 1528104510
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Entity Type | Organization
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Legal Business Name | BONE AND JOINT INSTITUTE OF SOUTH GEORGIA, P.C.
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 110 PROFESSIONAL CT
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City | JESUP
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State | GA
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Zip | 31545-0044
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Country | US
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Telephone | 912-427-0800
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Fax | 912-427-6029
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Provider Business Mailing Address
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Address Line | PO BOX 1334
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City | JESUP
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State | GA
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Zip | 31598-1334
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Country | US
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Telephone | 912-427-0800
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Fax | 912-810-5556
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Authorized Official
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Title or Position | OWNER/ SURGEON
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Name | DR. JOHN MATTHEW VALOSEN
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Credential | MD
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Telephone | 912-427-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 030633
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License Number State | GA
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