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Dr. Kenneth P Depersio, MD
Orthopedic Surgery Physician in Douglas, Georgia
NPI 1437125812

Kenneth P Depersio is a Orthopedic Surgery Physician based in Douglas, GA. Kenneth P Depersio practices in Douglas, GA and has the professional credentials of MD. The NPI Number for Kenneth P Depersio is 1437125812 and holds a License No. 053329 (Georgia).

The current practice location address for Kenneth P Depersio is 100 Doctors Dr Ste F, Douglas, GA and can be reached out via phone at 912-383-6575 and via fax at 912-383-6476.

Location: 100 Doctors Dr Ste F, Douglas, GA, 31533-2211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437125812
Provider Name
Kenneth P Depersio
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Doctors Dr Ste F, Douglas, GA, 31533-2211
Phone Number
912-383-6575
Fax Number
912-383-6476
Provider Enumeration Date
02/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
341176 01 GA WELLCARE OF GEORGIA
904817618C 05 GA
904817618D 05 GA
956500 01 GA BCBS
205778734002 01 TRICARE
GRP7930 01 GA MEDICARE GROUP # EFFECTIVE 02/01/2008
P00127268 01 GA RAILROAD MEDICARE
053329 01 GA MEDICAL LICENSE
053329 01 GA GA LICENSE
institution
Provider Business Practice Location Address Details
Address
100 Doctors Dr Ste F
City
Douglas
State
Georgia
Zip
31533-2211
Phone Number
912-383-6575
Fax Number
912-383-6476
person
Provider Business Mailing Address Details
Address
100 Doctors Dr Ste F
City
Douglas
State
Georgia
Zip
31533-2211
Phone Number
912-383-6575
Fax Number
912-383-6476
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
053329 (Georgia)
Definition
An orthopedic 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 orthopedic 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 orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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