Organization
AUGUSTA ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN T COLLEGE RT (OFFICE ADMINISTRATOR)
(706) 863-9797
Entity
Organization
Contact information
Practice address
3650 J DEWEY GRAY CIR, AUGUSTA, GA 30909-1867
(706) 863-9797
(706) 860-7686
Mailing address
3650 J DEWEY GRAY CIR, P O BOX 14039, AUGUSTA, GA 30909-1867
(706) 863-9797
(706) 860-7686
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
Other
Enumeration date
06/29/2006
Last updated
01/11/2023
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