Four Rivers Orthopedic Assoc Pc

NPI 1831185172 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1831185172
Enumeration Date 09/22/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name THOMAS M THOMAS
Position AUTHORIZED OFFICIAL
Phone (912) 537-1815
Fax (912) 537-9557
Practice Location
500A MAPLE DR
VIDALIA GA, 30474-8998, US
Phone (912) 537-1815
Fax (912) 537-9557
Business Location
500A MAPLE DR
VIDALIA GA, 30474-8998, US
Phone (912) 537-1815
Fax (912) 537-9557
Toxanomy
Taxonomy Code 207X00000X
License State Georgia
License Number GA053327
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According to our database, Four Rivers Orthopedic Assoc Pc NPI is 1831185172, taxonomy code is 207X00000X and license number is GA053327, license state is located at Georgia. Four Rivers Orthopedic Assoc Pc physically located at 500a Maple Dr, Vidalia GA, 30474-8998. NPI Number 1033115704 has the healthcare provider type.

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1831185172 NPI number is provided on an as is basis without warranty of any kind. 1831185172 is maintained by the National Plan & Provider Enumeration System. The contents of Four Rivers Orthopedic Assoc Pc are for informational purposes only.