| NPI | 1861253999 |
|---|---|
| Doing Business As | SOUTHERN ORTHOPEDICS & SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DOREATHA ROGERS Enrollment Coordinator 980-302-7992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-22 |