| NPI | 1497371405 |
|---|---|
| Doing Business As | SOUTHLAKE ORTHOPAEDICS |
| Former Legal Business Name | BRYANT AND BLUM |
| Entity Type | Organization |
| Authorized Contact | JEREMY SCHRIMSHER Administrator 205-985-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2023-03-09 |