Organization
EFFINGHAM ORTHOPEDIC PRACTICE LLC
Active
Parent organization
EFFINGHAM ORTHOPEDIC PRACTICE LLC
Other names
Effingham Chatham Sports Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
EFFINGHAM ORTHOPEDIC PRACTICE LLC
Authorized official
FRANCINE BAKER-WITT (CEO & NURSING HOME ADMINISTRATOR)
(912) 754-0142
Entity
Organization
Contact information
Practice address
613 TOWNE PARK DR W, SUITE 303-304, RINCON, GA 31326-5182
(912) 355-6615
(912) 351-0645
Mailing address
459 HIGHWAY 119 S, SPRINGFIELD, GA 31329-3021
(912) 754-0175
(912) 754-6395
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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