Organization
SPORTSMED ORTHOPAEDIC SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA PARDEN (PRACTICE MANAGER)
(256) 650-1242
Entity
Organization
Contact information
Practice address
4715 WHITESBURG DR., HUNTSVILLE, AL 35802-1632
(256) 881-5151
(256) 880-3939
Mailing address
4715 WHITESBURG DR, HUNTSVILLE, AL 35802-1632
(256) 881-5151
(256) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
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
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
10/17/2006
Last updated
04/06/2022
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