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Organization

SHOALS ORTHOPEDICS, PC

Active
Other names
Shoals Orthopedics
Organization subpart
No

Provider details

NPI number
Authorized official
KERRY DEL PIZZO (OFFICE MANAGER)
(256) 718-4041
Entity
Organization

Contact information

Practice address
426 W COLLEGE ST, FLORENCE, AL 35630-5521
(256) 718-4041
(256) 718-3665
Mailing address
426 W COLLEGE ST, FLORENCE, AL 35630-5521

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
225100000X
Physical Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4562760001
MEDICARE DMERC
AL
05
529911910
AL
Enumeration date
01/29/2007
Last updated
07/01/2014
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