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Organization
PREMIER ORTHOSPORTS, INC.
Active
Organization
PREMIER ORTHOSPORTS, INC.
Active
Other names
OrthoSports Athens, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM DAVID LAWRENCE D.O. (PRESIDENT)
(256) 233-2332
Entity
Organization
Contact information
Practice address
15243 GREENFIELD DR, ATHENS, AL 35613-2899
(256) 233-2332
(256) 216-3579
Mailing address
1860 US HIGHWAY 43, WINFIELD, AL 35594-5062
(202) 487-1111
(205) 487-1114
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DO1220
AL
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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