Organization
GEORGIA ORTHOPEDICS AND SPORTS MEDICINE,LLC
Active
Other names
Newton Health System
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA ROBERTS (OFFICE MANAGER)
(770) 788-6534
Entity
Organization
Contact information
Practice address
4181 HOSPITAL DR NE, COVINGTON, GA 30014-2541
(770) 788-6534
(770) 788-7658
Mailing address
4181 HOSPITAL DR NE, SUITE 204, COVINGTON, GA 30014-2541
(770) 788-6534
(770) 788-7658
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003126546A
—
GA
01
—
202G702667
MEDICARE PTAN
—
Enumeration date
04/30/2012
Last updated
12/31/2013
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