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Organization

SOUTHERN ORTHOPEDIC & SPORTS MEDICINE ASSOC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHERRIE T PIKE (BUSINESS MANAGER)
(205) 221-5374
Entity
Organization

Contact information

Practice address
20 MEDICAL CENTER DR, SUITE 300, JASPER, AL 35501-3425
(205) 221-1114
(205) 385-0380
Mailing address
PO BOX 580, JASPER, AL 35502-0580
(205) 221-5374
(205) 384-1453

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
529101780
AL
Enumeration date
06/11/2013
Last updated
06/11/2013
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