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CENTER FOR ORTHOPAEDIC AND SPORTS MEDICINE NPI 1205969516


NPI Information

NPI: 1205969516
Provider Name: CENTER FOR ORTHOPAEDIC AND SPORTS MEDICINE
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1211 JOHNSON FERRY RD
MARIETTA, GA
ZIP 30068
Phone: (770) 565-0011
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CENTER FOR ORTHOPAEDIC AND SPORTS MEDICINE is a specialist in Marietta, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CENTER FOR ORTHOPAEDIC AND SPORTS MEDICINE NPI is 1205969516. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1211 JOHNSON FERRY RD
MARIETTA, GA
ZIP 30068-722
Phone: (770) 565-0011
Fax: (770) 565-9866

The provider's authorized official is Robyn Carter .
The authorized official title is Administrator and has the following contact phone number (770) 565-0011.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 11/6/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GRP1971MEDICARE ID-TYPE UNSPECIFIEDGEORGIAGROUP ID NUMBER
20509280001MEDICARE NSCGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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