ORTHOPEDIC SURGEONS OF GEORGIA LLC NPI 1164857686

NPI Information

NPI: 1164857686
Provider Name: ORTHOPEDIC SURGEONS OF GEORGIA, LLC

Doing Business As: OPTIM PAIN MANAGEMENT - TIFTON

Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
39 KENT RD
TIFTON, GA
ZIP 31794
Phone: (229) 387-8061
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ORTHOPEDIC SURGEONS OF GEORGIA, LLC is a pain clinic center in Tifton, GA. ORTHOPEDIC SURGEONS OF GEORGIA, LLC NPI is 1164857686. The provider is registered as an organization entity type.
The provider Is Doing Business As Optim Pain Management - Tifton.

The provider's business location address is:

39 KENT RD
TIFTON, GA
ZIP 31794-698
Phone: (229) 387-8061

The provider's authorized official is Lavonda Cravey .
The authorized official title is Controller and has the following contact phone number (912) 383-5600.

The enumeration date for this NPI number is 9/4/2013 and was last updated on 12/21/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP3300X	Clinic/Center	Pain		GEORGIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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