Organization
CAPITAL ORTHOPAEDIC CLINIC PLLC
Active
Parent organization
CAPITAL ORTHOPAEDIC CLINIC, PLLC
Other names
Capital Orthopaedic Clinic PT
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAPITAL ORTHOPAEDIC CLINIC, PLLC
Authorized official
KATIE RUSSELL (BUSINESS OFFICE MANAGER)
(601) 987-8200
Entity
Organization
Contact information
Practice address
104 BURNEY DR, FLOWOOD, MS 39232-6621
(601) 987-8200
(601) 987-8211
Mailing address
PO BOX 30594, CHARLOTTE, NC 28230-0594
(601) 987-8200
(601) 987-8211
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
06/14/2021
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