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Organization
SPECIALTY ORTHOPEDIC GROUP OF MS, PLLC
Active
Organization
SPECIALTY ORTHOPEDIC GROUP OF MS, PLLC
Active
Parent organization
SPECIALTY ORTHOPEDIC GROUP OF MS, PLLC
Other names
Specialty Orthopedic Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECIALTY ORTHOPEDIC GROUP OF MS, PLLC
Authorized official
JENNY MILL (CREDENTIALING AND ENROLLMENT)
(662) 767-4200
Entity
Organization
Contact information
Practice address
118 FAIRFIELD DR, NEW ALBANY, MS 38652-3107
(662) 767-4200
(662) 767-4204
Mailing address
1211 S GLOSTER ST STE A, TUPELO, MS 38801-6548
(662) 767-4200
(662) 767-4204
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
09/01/2020
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