# ORTHOPEDIC SURGEONS OF GEORGIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orthopedic Surgeons of Georgia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568869170
- **Authorized official:** MRS. LAVONDA CRAVEY (CONTROLLER)
- **Authorized official phone:** (912) 383-5600

## Contact information

- **Practice address:** 100 DOCTORS DR, SUITE F, DOUGLAS, GA 31533-2210
- **Practice address phone:** (912) 383-6575
- **Practice address fax:** (229) 387-8064
- **Mailing address:** 100 DOCTORS DR, SUITE F, DOUGLAS, GA 31533-2210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/25/2014
- **Last updated:** 09/07/2017