| NPI | 1073654489 |
|---|---|
| Doing Business As | SOUTHERN ORTHOPEDICS SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | GLORIA W KELLEY Executive Secretary 706-884-2691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 23336) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |