Organization
ORTHOSPORTS ASSOCIATES, LLC
Active
Parent organization
ORTHOSPORTS ASSOCIATES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOSPORTS ASSOCIATES, LLC
Authorized official
DAVID S BUGGAY MD (PRESIDENT)
(205) 939-0447
Entity
Organization
Contact information
Practice address
2030 LAY DAM RD, CLANTON, AL 35045-8344
(205) 939-0447
(205) 939-0418
Mailing address
833 ST. VINCENT'S DRIVE, BLDG 3, STE 403, BIRMINGHAM, AL 35205
(205) 939-0447
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127553
—
AL
Enumeration date
09/11/2017
Last updated
09/11/2017
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