MAGNOLIA SURGERY, PC
Radiology in Kathleen, GA

License number
Georgia 23837
Category
Radiology
Type
Surgery
Owner
Name: DR. KERRY C. RODGERS M.D.
Title: PHYSICIAN/OWNER
Phone: (478) 287-6574
Address
Address
1118 Highway 96 WEST SUITE 1, Kathleen, GA 31047
National Provider ID: 1982959615
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MAGNOLIA SURGERY, PC

Kathleen, GA

Doing business as:
Magnolia Surgery
Registration:
Apr 18, 2012
Phone:
(478) 287-6574 (Phone)
Addresses:
1118 Georgia Hwy 96 W SUITE 1, Kathleen, GA 31047 (Physical)
1118 Ga Hwy 96, Kathleen, GA 31047
State ID:
12036271
Business type:
Domestic Professional Corporation
CEO:
Cleon Kerry Rodgers (CEO), 1118 Georgia Hwy 96 W #13, Kathleen, GA 31047 (Physical)
Agent:
Kerry Cleon Rodgers,1118 Georgia Hwy 96 W SUITE 1 KATHLEEN GA, Kathleen, GA 31047 (Physical)
Categories:
Physicians & Surgeons

Radiology licenses in Georgia