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1053457457

NPI Code Detail

MEDICARE: VALDOSTA ORTHOPEDIC ASSOCIATES PC

MEDICARE: VALDOSTA ORTHOPEDIC ASSOCIATES PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	GRP1215	OTHER	GA	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053457457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALDOSTA ORTHOPEDIC ASSOCIATES PC

Provider Business Mailing Address
First Line	:	3527 N VALDOSTA ROAD
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31602-1068
Country	:	US
Telephone Number	:	229-247-2290
Fax Number	:	229-244-2626

Provider Business Practice Location Address
First Line	:	3527 N VALDOSTA ROAD
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31602-1068
Country	:	US
Telephone Number	:	229-247-2290
Fax Number	:	229-244-2626

Authorized Official
Title or Position	:	PRESIDENT
Name	:	OSCAR E AGUERO JR.
Credential	:	MD
Telephone Number	:	229-247-2290

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	04/14/2021

Similar Medicare Providers

1083618052 — CHARLES W SANDERLIN JR. MD
Practice Location Address:

3527 N VALDOSTA RD
VALDOSTA, GA
31602-1068

Practice Phone: 229-247-2290
Practice Fax: 229-244-2626

1164426136 — JOHN P KENDRICK MD
Practice Location Address:

3527 N VALDOSTA RD
VALDOSTA, GA
31602-1068

Practice Phone: 229-247-2290
Practice Fax: 229-244-2626

1144224197 — JAMES R. GOSS D.O.
Practice Location Address:

3527 N VALDOSTA RD
VALDOSTA, GA
31602-1068

Practice Phone: 229-247-2290
Practice Fax: 229-244-2626

1962406918 — OSCAR E AGUERO JR. MD
Practice Location Address:

3527 N VALDOSTA RD
VALDOSTA, GA
31602-1068

Practice Phone: 229-247-2290
Practice Fax: 229-244-2626

1831194760 — LEON S MEEKS MD
Practice Location Address:

3527 N VALDOSTA RD
VALDOSTA, GA
31602-1068

Practice Phone: 229-247-2290
Practice Fax: 229-244-2626

1275194557 — WHITNEY LORRAINE KLINE APRN
Practice Location Address:

3281 INNER PERIMETER RD
VALDOSTA, GA
31602

Practice Phone: 229-671-9100
Practice Fax:

Directions to “VALDOSTA ORTHOPEDIC ASSOCIATES PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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