Organization
ORTHOSPORTS ASSOCIATES
Active
Parent organization
ORTHOSPORTS ASSOCIATES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOSPORTS ASSOCIATES LLC
Authorized official
LORI W SILLS (OM)
(205) 939-0447
Entity
Organization
Contact information
Practice address
5850 VALLEY RD, BIRMINGHAM, AL 35235-8682
(205) 939-3090
Mailing address
833 SAINT VINCENTS DR STE 403, BIRMINGHAM, AL 35205-1614
(205) 939-0447
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127553
—
AL
Enumeration date
04/19/2022
Last updated
04/19/2022
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