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Organization

OHANA SPINE & ORTHO CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIELLE GILKEY (CEO)
(912) 509-2892
Entity
Organization

Contact information

Practice address
412 US HIGHWAY 80 SW, POOLER, GA 31322-2541
(912) 509-2892
(912) 295-2678
Mailing address
501 DRESLER RD, RINCON, GA 31326-4749
(912) 509-2892
(912) 295-2678

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
207X00000X
Orthopaedic Surgery Physician
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
261QM1300X
Multi-Specialty Clinic/Center

Other

Enumeration date
04/15/2021
Last updated
04/29/2021
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