Organization
ORTHOSPORTS ASSOCIATES, LLC
Active
Parent organization
ORTHOSPORTS ASSOCIATES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOSPORTS ASSOCIATES, LLC
Authorized official
LORI W SILLS (OFFICE MANAGER)
(205) 939-0447
Entity
Organization
Contact information
Practice address
430 FIELDSTOWN RD STE 104, GARDENDALE, AL 35071-2485
(205) 418-1260
Mailing address
833 ST. VINCENT'S DRIVE, BLDG 3, STE 403, BIRMINGHAM, AL 35205
(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
02/11/2019
Last updated
03/04/2019
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