SOUTHEAST GEORGIA PEDIATRICS
Ambulatory Health at Boulevard Sq, Waycross, GA

License number
Georgia 018950
Category
Ambulatory Health
Type
Primary Care
License number
Georgia 041044
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. EUGENE WYNN KALLAY II M.D.
Title: OWNER
Phone: (478) 737-7653
Address
Address
1701 Boulevard Sq STE D, Waycross, GA 31501
National Provider ID: 1457613192
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SOUTHEAST GEORGIA PEDIATRICS at bizstanding.com

SOUTHEAST GEORGIA PEDIATRICS LLC

Waycross, GA

Industry:
Medical Doctor's Office
Registration:
Apr 27, 2012
Addresses:
1701D Blvd Sq, Waycross, GA 31501 (Physical)
1701 Blvd Sq, Waycross, GA 31501
State ID:
12036662
Business type:
Domestic Limited Liability Company
Medical Doctors:
Eugene Wynn Kallay (Owner, Pediatrics),D. Anderson (Medical Doctor),Dannette Brantley Kallay Medical Doctor, inactive
Agent:
Wynn Kallay,1701 Blvd Sq, Waycross, GA (Physical)

Ambulatory Health licenses in Georgia










Other Doctors licenses in Georgia