Organization
PALMER ORTHOPAEDIC & SPORTS MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER G PALMER MD (OWNER/PHYSICIAN)
(256) 997-9777
Entity
Organization
Contact information
Practice address
315 MEDICAL CENTER DR. SW, FORT PAYNE, AL 35968
(256) 997-9777
(256) 997-9768
Mailing address
315 MEDICAL CENTER DR. SW, FORT PAYNE, AL 35968
(256) 997-9777
(256) 997-9768
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
17684
AL
207X00000X
Orthopaedic Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529932930
—
AL
01
—
5977990001
MEDICARE DME
—
01
—
DG4090
MEDICARE RAILROAD
—
Enumeration date
06/15/2007
Last updated
03/03/2011
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