Organization
SOUTHERN ORTHOPEDIC & SPORTS MEDICINE ASSOC P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRIE T. PIKE I (BUSINESS MANAGER)
(205) 221-5374
Entity
Organization
Contact information
Practice address
2950 HIGHWAY 78 E, JASPER, AL 35501-8903
(205) 221-5374
(205) 384-1453
Mailing address
PO BOX 580, JASPER, AL 35502-0580
(205) 221-5374
(205) 384-1453
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529101780
—
AL
Enumeration date
07/26/2006
Last updated
07/12/2013
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