MGO SPINE LLC NPI 1568066256

NPI Information

  • NPI: 1568066256
  • Provider Name: MGO SPINE, LLC
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Organization
  • Address: 3051 WATSON BLVD STE 400
    WARNER ROBINS, GA
    ZIP 31093
  • Phone: (478) 953-4563

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NPI Details

MGO SPINE, LLC is an orthopaedic surgery of the spine orthopaedic surgery in Warner Robins, GA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. MGO SPINE, LLC NPI is 1568066256. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3051 WATSON BLVD STE 400
WARNER ROBINS, GA
ZIP 31093-556
Phone: (478) 953-4563
Fax: (478) 953-4564

The provider's authorized official is Cyndi Wright .
The authorized official title is Credentialing Specialist and has the following contact phone number (478) 953-4563.

The enumeration date for this NPI number is 11/24/2020 and was last updated on 11/24/2020.

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
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineYes

What is NPI?

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This page was last updated on: 3/30/2025

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