Organization
PREMIER ORTHOSPORTS, INC.
Active
Other names
OrthoSports Athens, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM DAVID LAWRENCE D.O. (PRESIDENT)
(256) 233-2332
Entity
Organization
Contact information
Practice address
15243 GREENFIELD DR, ATHENS, AL 35613-2899
(256) 233-2332
(256) 216-3579
Mailing address
1860 US HIGHWAY 43, WINFIELD, AL 35594-5062
(202) 487-1111
(205) 487-1114
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DO1220
AL
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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