Organization
THE ORTHOPEDIC SPINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEWATT M SIMS M.D. (OWNER/MANAGING MEMBER)
(229) 388-5625
Entity
Organization
Contact information
Practice address
1622 MADISON AVE, TIFTON, GA 31794-3756
(229) 388-5625
Mailing address
1622 MADISON AVE, TIFTON, GA 31794-3756
(229) 388-5625
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
048965
GA
Other
Enumeration date
05/18/2010
Last updated
05/21/2010
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