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Organization

ATHENS BONE AND JOINT PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN RICHARD DORRIS III MD (OWNER)
(706) 583-9000
Entity
Organization

Contact information

Practice address
1010 PRINCE AVE, SUITE 115 SOUTH, ATHENS, GA 30606-5805
(706) 583-9000
(706) 353-6525
Mailing address
1010 PRINCE AVE, SUITE 115 SOUTH, ATHENS, GA 30606-5805
(706) 583-9000
(706) 353-6525

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
040899
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000805054B
GA
Enumeration date
12/14/2006
Last updated
10/25/2016
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  • EDI platform