Organization
ORTHOPEDIC SURGEONS OF GEORGIA LLC
Active
Other names
Optim Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
DON LEWIS (PROVIDER ENROLLMENT)
(912) 383-5620
Entity
Organization
Contact information
Practice address
17 JOHNSON ST, HAZLEHURST, GA 31539-6243
(912) 375-7005
Mailing address
17 JOHNSON ST, HAZLEHURST, GA 31539-6243
(912) 375-7005
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
GA
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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