Organization
ORTHOSPORTS1ST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK COVIN (CONTROLLER)
(205) 352-2911
Entity
Organization
Contact information
Practice address
1031 BROCKS GAP PKWY STE 185, HOOVER, AL 35244-4078
(205) 352-2911
(205) 352-2910
Mailing address
1031 BROCKS GAP PKWY STE 185, HOOVER, AL 35244-4078
(205) 352-2911
(205) 352-2910
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163WX0800X
TAXONOMY
AL
Enumeration date
05/14/2020
Last updated
10/16/2025
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