Organization
ORTHOSPORTS1ST PC
Active
Parent organization
ORTHOSPORTS1ST PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOSPORTS1ST PC
Authorized official
MR. MARK COVIN (ADMINISTRATOR)
(205) 352-2911
Entity
Organization
Contact information
Practice address
5510 PROMENADE POINT PKWY NW # 160, MADISON, AL 35758-6702
(256) 289-8470
(256) 993-3096
Mailing address
PO BOX 830525, DEPARTMENT# OWC 24, BIRMINGHAM, AL 35283-0525
(205) 352-2911
(205) 352-2910
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
04/18/2025
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