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Organization
ORTHOSPORTS ASSOCIATES, LLC
Active
Organization
ORTHOSPORTS ASSOCIATES, LLC
Active
Parent organization
ORTHOSPORTS ASSOCIATES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOSPORTS ASSOCIATES, LLC
Authorized official
LORI W SILLS (OFFICE MANAGER)
(205) 939-0447
Entity
Organization
Contact information
Practice address
150 GILBREATH DR, ONEONTA, AL 35121-2827
(205) 838-4747
Mailing address
833 SAINT VINCENTS DR STE 403, BIRMINGHAM, AL 35205-1614
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127553
—
AL
Enumeration date
01/27/2021
Last updated
01/27/2021
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