Organization
HOUSTON ORTHOPEDIC SURGERY & SPORTS MEDICINE, P.C.
Active
Organization
HOUSTON ORTHOPEDIC SURGERY & SPORTS MEDICINE, P.C.
Active
Other names
Middle Georgia Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEATHERN SCOTT MALONE MD (MD)
(478) 953-4563
Entity
Organization
Contact information
Practice address
1013 MAIN ST, PERRY, GA 31069-3353
(478) 953-4563
Mailing address
3051 WATSON BLVD STE 525, WARNER ROBINS, GA 31093-8556
(478) 953-4563
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300033915A
—
GA
Enumeration date
04/22/2013
Last updated
02/20/2025
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