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11D2062756 CLIA NUMBER - SOUTHEASTERN ORTHOPAEDICS

Laboratory Demographics

CLIA Number: 11D2062756

Facility Name: SOUTHEASTERN ORTHOPAEDICS

Facility Address:
110 SHIRLEY AVENUE
DOUGLAS, GA
ZIP 31533
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Facility Phone Number: 912 383-9789

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1184053043

Taxonomy: 207X00000X - Orthopaedic Surgery
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

CLIA Record

Field Name Field Value
CLIA Number 11D2062756
LAB Type Physician Office
Facility Name SOUTHEASTERN ORTHOPAEDICS
Street 110 SHIRLEY AVENUE
City DOUGLAS
State GA
ZIP 31533
Phone 912 383-9789
CertificateType 4
CertificateEffectiveDate 7/22/2023
CertificateExpirationDate 7/21/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024