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Organization

ORTHOSPORTS ASSOCIATES, LLC

Active
Parent organization
ORTHOSPORTS ASSOCIATES, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORTHOSPORTS ASSOCIATES, LLC
Authorized official
LORI W SILLS (OM)
(205) 939-0447
Entity
Organization

Contact information

Practice address
70 PLAZA DR, PELL CITY, AL 35125-9314
(205) 838-4747
Mailing address
833 SAINT VINCENTS DR STE 403, BIRMINGHAM, AL 35205-1614
(205) 939-0447

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
127553
AL
Enumeration date
03/23/2021
Last updated
03/23/2021
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