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Organization

FAMILY ORTHOPEDICS, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD LEE DAVIS MD (PRESIDENT)
(706) 335-9081
Entity
Organization

Contact information

Practice address
142 HAMPTON CT, COMMERCE, GA 30529-6688
(706) 335-9081
(706) 335-7194
Mailing address
PO BOX 815, COMMERCE, GA 30529-0016
(706) 335-9081
(706) 335-7194

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
023725
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000291772Q
GA
05
000291772S
GA
Enumeration date
09/16/2010
Last updated
12/12/2016
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