Medfast 2
Medfast 2 is a Legal Medicine (M.D./D.O.) Physician in Waycross, Georgia. Licensed in Georgia. Registered with an NPI since 2006.
- Licensed in
- GA
- In the registry since
- 2006
Practice location Address checks out
1405 Alice StWaycross, GA 31501-4528
Phone: (912) 285-3157
Fax: (912) 283-2051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Legal Medicine (M.D./D.O.) Physician (primary) | Taxonomy 209800000X · Licence 031778 (GA) |
|---|
Record details
| NPI number | 1003857517 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gerardo Klug — President · (912) 285-3157 |
| NPI enumerated | June 8, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1405 Alice St, Waycross, GA 31501-4528 |
Other providers in Waycross
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Cheryl A Klug, FNPC
1405 Alice St, Waycross, GA 31501-4528 · (912) 285-3157
-
Mr. Gerardo Alberto Klug, MD
1405 Alice St, Waycross, GA 31501-4528 · (912) 285-3157