Organization
FAMILY ORTHOPEDIS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD L DAVIS MD (OWNER)
(706) 335-9081
Entity
Organization
Contact information
Practice address
930 FRANKLIN SPRINGS ST, ROYSTON, GA 30662-3908
(706) 335-9081
(706) 335-7194
Mailing address
PO BOX 463, COMMERCE, GA 30529-0009
(706) 335-9081
(706) 335-7194
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
23725
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000291772P
—
GA
Enumeration date
03/17/2015
Last updated
03/17/2015
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