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Organization
SOUTHLAKE ORTHOPAEDICS SPORTS MEDICINE AND SPINE CENTER, PC
Active
Organization
SOUTHLAKE ORTHOPAEDICS SPORTS MEDICINE AND SPINE CENTER, PC
Active
Other names
Southlake Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EKKEHARD BONATZ MD (PHYSICIAN)
(205) 985-4111
Entity
Organization
Contact information
Practice address
7191 CAHABA VALLEY RD, HOOVER, AL 35242-6443
(205) 985-4111
(205) 267-4411
Mailing address
4517 SOUTHLAKE PKWY, HOOVER, AL 35244-3280
(205) 985-4111
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
—
NULL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
02/10/2022
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