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Organization
ORTHOXPRESS OF GEORGIA
Active
Organization
ORTHOXPRESS OF GEORGIA
Active
Parent organization
ORTHOXPRESS OF GEORGIA
Other names
OrthoXpress of Fayetteville
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOXPRESS OF GEORGIA
Authorized official
JENNIFER C BULLOCK (PRESIDENT)
(662) 534-2298
Entity
Organization
Contact information
Practice address
104 N PARK DR STE 104, FAYETTEVILLE, GA 30214-1645
(470) 944-5290
Mailing address
206 OXFORD RD, NEW ALBANY, MS 38652-3115
(662) 534-2227
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
363A00000X
Physician Assistant
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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