Organization
THOMASVILLE ORTHOPEDIC CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK R NUSBICKEL MD (PRESIDENT)
(229) 226-9144
Entity
Organization
Contact information
Practice address
100 MIMOSA DR, THOMASVILLE, GA 31792
(229) 226-9141
(229) 228-0637
Mailing address
PO BOX 2968, THOMASVILLE, GA 31799-2968
(229) 226-9141
(229) 228-0637
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0832790001
DMERC
GA
01
—
CB2303
RAIL ROAD MEDICARE
GA
Enumeration date
05/02/2006
Last updated
02/07/2008
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