Organization
PROVIDENCE ORTHOPEDICS & SPORTS MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID C HARKINS I D.O. (PRESIDENT)
(770) 267-0978
Entity
Organization
Contact information
Practice address
1401 W SPRING ST, SUITE 200, MONROE, GA 30655-1760
(770) 267-0978
(770) 207-7842
Mailing address
1401 W SPRING ST, SUITE 200, MONROE, GA 30655-1760
(770) 267-0978
(770) 207-7842
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
055950
GA
Other
Enumeration date
05/29/2007
Last updated
12/30/2009
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