Organization
RESURGENS, LLC
Active
Other names
Resurgens Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE R SPRINGER (CREDENTIALING MANAGER)
(404) 531-8615
Entity
Organization
Contact information
Practice address
5671 PEACHTREE DUNWOODY RD STE 900, ATLANTA, GA 30342-5022
(404) 847-9999
(404) 531-8466
Mailing address
PO BOX 21068, BELFAST, ME 04915-4107
(404) 847-9999
(404) 531-8466
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300025978A
—
GA
01
—
CC5961
MEDICARE RAILROAD GROUP PTAN
GA
01
—
CG1065
MEDICARE RAILROAD GROUP PTAN
GA
01
—
CH1087
MEDICARE RAILROAD GROUP PTAN
GA
Enumeration date
05/17/2006
Last updated
02/06/2023
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