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J Melvin Deese Jr, Md Pc
Ambulatory Surgical Clinic/Center in Brunswick, Georgia
NPI 1780694455

J Melvin Deese Jr, Md Pc is an Ambulatory Surgical Clinic/Center based in Brunswick, GA and is specialized in Ambulatory Surgical. J Melvin Deese Jr, Md Pc practices in Brunswick, GA. The NPI Number for J Melvin Deese Jr, Md Pc is 1780694455 and holds a License No. 063-160 (Georgia).

The current practice location address for J Melvin Deese Jr, Md Pc is 1111 Glynco Pkwy Ste 100, Brunswick, GA and can be reached out via phone at 912-262-9961.

Location: 1111 Glynco Pkwy Ste 100, Brunswick, GA, 31525-7922
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780694455
Provider Name
J Melvin Deese Jr, Md Pc
Credential
Provider Entity Type
Organization
Address
1111 Glynco Pkwy Ste 100, Brunswick, GA, 31525-7922
Phone Number
912-262-9961
Fax Number
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1111 Glynco Pkwy Ste 100
City
Brunswick
State
Georgia
Zip
31525-7922
Phone Number
912-262-9961
Fax Number
person
Provider Business Mailing Address Details
Address
1111 Glynco Pkwy Ste 100
City
Brunswick
State
Georgia
Zip
31525-7922
Phone Number
912-262-9961
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
063-160 (Georgia)
Definition
Definition to come...
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