Organization
ORTHOPEDIC CENTER PC
Active
Other names
Southeastern Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER A. SIDWELL (ADMINISTRATIVE ASSISTANT)
(912) 644-5372
Entity
Organization
Contact information
Practice address
7 MALLETT WAY, BLUFFTON, SC 29910-6064
(800) 827-6536
Mailing address
7 MALLETT WAY, BLUFFTON, SC 29910-6064
(800) 827-6536
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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