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Southern Orthopedic & Sports Medicine Assoc Pc
Specialist in Jasper, Alabama
NPI 1770921819

Southern Orthopedic & Sports Medicine Assoc Pc is a Specialist based in Jasper, AL. Southern Orthopedic & Sports Medicine Assoc Pc practices in Jasper, AL. The NPI Number for Southern Orthopedic & Sports Medicine Assoc Pc is 1770921819 and holds a License No. (Alabama).

The current practice location address for Southern Orthopedic & Sports Medicine Assoc Pc is 20 Medical Center Dr, Jasper, AL and can be reached out via phone at 205-221-1114 and via fax at 205-385-0380.

Location: 20 Medical Center Dr, Jasper, AL, 35502-0580
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770921819
Provider Name
Southern Orthopedic & Sports Medicine Assoc Pc
Credential
Provider Entity Type
Organization
Address
20 Medical Center Dr, Jasper, AL, 35502-0580
Phone Number
205-221-1114
Fax Number
205-385-0380
Provider Enumeration Date
06/11/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
529101780 05 AL
institution
Provider Business Practice Location Address Details
Address
20 Medical Center Dr
City
Jasper
State
Alabama
Zip
35501-3425
Phone Number
205-221-1114
Fax Number
205-385-0380
person
Provider Business Mailing Address Details
Address
20 Medical Center Dr
City
Jasper
State
Alabama
Zip
35501-3425
Phone Number
205-221-1114
Fax Number
205-385-0380
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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