Orthopedic Surgeons Of Georgia, Llc

NPI 1164857686 - Clinic/Center - 261QP3300X

NPI Details
NPI 1164857686
Enumeration Date 09/04/2013
Last Updated 09/04/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MICHAEL W MICHAEL
Position CEO
Phone (912) 644-5300
Fax
Practice Location
39 KENT RD
TIFTON GA, 31794-1698, US
Phone (912) 644-5300
Fax
Business Location
210 E DERENNE AVE
CREDENTIALING DEPT
SAVANNAH GA, 31405-6736, US
Phone (912) 692-6926
Fax
Toxanomy
Taxonomy Code 261QP3300X
License State
License Number
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According to our database, Orthopedic Surgeons Of Georgia, Llc NPI is 1164857686, taxonomy code is 261QP3300X Orthopedic Surgeons Of Georgia, Llc physically located at 39 Kent Rd, Tifton GA, 31794-1698. NPI Number 1033115704 has the healthcare provider type.

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1164857686 NPI number is provided on an as is basis without warranty of any kind. 1164857686 is maintained by the National Plan & Provider Enumeration System. The contents of Orthopedic Surgeons Of Georgia, Llc are for informational purposes only.