Upson Orthopaedic Clinic

NPI 1578783080 - Specialist - 174400000X

NPI Details
NPI 1578783080
Enumeration Date 04/26/2007
Last Updated 08/13/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DEBBIE B DEBBIE
Position OFFICE MGR
Phone (706) 646-4371
Fax (706) 646-4373
Practice Location
612 W GORDON ST
STE A
THOMASTON GA, 30286-3416, US
Phone (706) 646-4371
Fax (706) 646-4373
Business Location
612 W GORDON ST
STE A
THOMASTON GA, 30286-3416, US
Phone (706) 646-4371
Fax (706) 646-4373
Toxanomy
Taxonomy Code 174400000X
License State Georgia
License Number 041777
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According to our database, Upson Orthopaedic Clinic NPI is 1578783080, taxonomy code is 174400000X and license number is 041777, license state is located at Georgia. Upson Orthopaedic Clinic physically located at 612 W Gordon St, Thomaston GA, 30286-3416. NPI Number 1033115704 has the healthcare provider type.

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1578783080 NPI number is provided on an as is basis without warranty of any kind. 1578783080 is maintained by the National Plan & Provider Enumeration System. The contents of Upson Orthopaedic Clinic are for informational purposes only.