Organization
GEORGIA SPORTS MEDICINE AND ORTHOPEDIC CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DREW DORMINEY (ADMINISTRATOR/COO)
(229) 387-1185
Entity
Organization
Contact information
Practice address
1610 JOHN ORR DR, SUITE A, TIFTON, GA 31794-3682
(229) 386-5222
(229) 382-6191
Mailing address
PO BOX 7630, TIFTON, GA 31793-7630
(229) 386-5222
(229) 382-6191
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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