Organization
ORTHOPEDIC SURGEONS OF GEORGIA LLC
Active
Parent organization
ORTHOPEDIC SURGEONS OF GEORGIA, LLC
Other names
Optim Orthopedics
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOPEDIC SURGEONS OF GEORGIA, LLC
Authorized official
MRS. LAVONDA L. CRAVEY (CONTROLLER)
(912) 383-5600
Entity
Organization
Contact information
Practice address
2015 ALICE ST, WAYCROSS, GA 31501-6209
(912) 548-0590
(912) 644-5260
Mailing address
210 E DERENNE AVE ATTN PROVIDER ENROLLMENT, SAVANNAH, GA 31405-6736
(912) 644-5300
(912) 644-5260
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
02/13/2013
Last updated
04/09/2015
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