Organization
SOUTHERN ORTHOPAEDICS AND SPORTS MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH W MORALES DO (SECRETARY)
(912) 996-0110
Entity
Organization
Contact information
Practice address
3231 GLYNN AVE, BRUNSWICK, GA 31520-4851
(912) 265-9006
(912) 265-7200
Mailing address
3231 GLYNN AVE, BRUNSWICK, GA 31520-4851
(912) 265-9006
(912) 265-7200
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300033715A
—
GA
01
—
CH9449
MEDICARE RAILROAD GROUP
GA
Enumeration date
06/25/2006
Last updated
08/11/2025
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