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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