Organization
ST. VINCENT'S ORTHOPEDICS, PC
Active
Other names
Hughston Clinic Orthopaedic
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM F FAULL (CEO)
(205) 933-7838
Entity
Organization
Contact information
Practice address
2030 LAY DAM RD, FL 1 POD B, CLANTON, AL 35045-8344
(205) 258-4464
(205) 258-4390
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
11/20/2024
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