Organization
ADVANCED ORTHOPEDICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ALLAN ARLEDGE (MANAGER)
(205) 533-4333
Entity
Organization
Contact information
Practice address
1639 E PASS RD, GULFPORT, MS 39507
(228) 822-2663
(228) 604-2255
Mailing address
PO BOX 7144, GULFPORT, MS 39506-7144
(228) 822-2663
(228) 604-2255
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00127085
—
MS
01
—
DA3947
MEDICARE RAILROAD
—
Enumeration date
05/05/2006
Last updated
05/29/2018
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