| NPI | 1952772253 |
|---|---|
| Other Name | ORTHOPAEDIC ASSOCIATES OF THE LAKELANDS, A DIVISION OF SELF MEDICAL |
| Entity Type | Organization |
| Authorized Contact | MATTHEW T LOGAN President 864-725-4253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2022-06-28 |