Organization
ORTHO SPORT & SPINE PHYSICIANS AUGUSTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY GLOVER (CREDENTIALING)
(678) 783-7615
Entity
Organization
Contact information
Practice address
1306 TROUPE ST, AUGUSTA, GA 30904-4799
(706) 842-4113
Mailing address
5788 ROSWELL RD, ATLANTA, GA 30328-4904
(678) 783-7615
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
02/22/2021
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