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Organization
ORTHOPEDIC SURGERY SPECIALISTS, INC.
Active
Organization
ORTHOPEDIC SURGERY SPECIALISTS, INC.
Active
Other names
Ortho Sports Athens, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH PATRICK BOYETT D.O. (CEO)
(205) 487-1111
Entity
Organization
Contact information
Practice address
15243 GREENFIELD DR, SUITE A, ATHENS, AL 35613-2899
(256) 233-2332
(256) 216-3579
Mailing address
1860 US HIGHWAY 43, WINFIELD, AL 35594-5062
(205) 487-1111
(205) 487-1114
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DO-530
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326199530
—
AL
01
—
51591148
BLUE CROSS AND BLUE SHIELD OF AL
AL
Enumeration date
04/30/2008
Last updated
01/17/2012
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