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COLUMBUS SHOULDER SURGERY & SPORTS MEDICINE LLC NPI 1437521291


NPI Information

NPI: 1437521291
Provider Name: COLUMBUS SHOULDER SURGERY & SPORTS MEDICINE LLC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 11D2107854

Address:
2045 CENTRE STONE CT
STE A
COLUMBUS, GA
ZIP 31904
Phone: (706) 596-8844
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COLUMBUS SHOULDER SURGERY & SPORTS MEDICINE LLC is an orthopaedic surgery in Columbus, GA. The provider is 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. COLUMBUS SHOULDER SURGERY & SPORTS MEDICINE LLC NPI is 1437521291. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2045 CENTRE STONE CT
STE A
COLUMBUS, GA
ZIP 31904-561
Phone: (706) 596-8844
Fax: (844) 274-2477

The provider's authorized official is Robert Gordon Lewis .
The authorized official title is Owner and has the following contact phone number (706) 596-8844.

The CLIA number assigned to this NPI record is 11D2107854 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2015 and was last updated on 11/10/2015.


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
1207XX0005XOrthopaedic SurgerySports Medicine053576GEORGIANo
2207X00000XOrthopaedic Surgery053576GEORGIAYes

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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