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ORTHOPEDICS SPORTS MEDICINE & SURGERY LLC NPI 1831413962


NPI Information

NPI: 1831413962
Provider Name: ORTHOPEDICS SPORTS MEDICINE & SURGERY, LLC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
612 W GORDON ST
SUITE E
THOMASTON, GA
ZIP 30286
Phone: (706) 647-3030
Get Directions

ORTHOPEDICS SPORTS MEDICINE & SURGERY, LLC is an orthopaedic surgery in Thomaston, 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. ORTHOPEDICS SPORTS MEDICINE & SURGERY, LLC NPI is 1831413962. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

612 W GORDON ST
SUITE E
THOMASTON, GA
ZIP 30286-480
Phone: (706) 647-3030
Fax: (706) 647-3033

The provider's authorized official is Carol L Hopper .
The authorized official title is Director Physician Sevices and has the following contact phone number (706) 647-3035.

The enumeration date for this NPI number is 3/18/2010 and was last updated on 7/30/2012.


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
1207X00000XOrthopaedic SurgeryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1003121667BOTHERGEORGIABOYCE MCD BV
2003122757AMEDICAIDGEORGIA
3003121667AOTHERGEORGIABOYCE MCD TH

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: 5/5/2024

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