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Organization

MILLEDGEVILLE BONE & JOINT SPECIALIST INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN P NIERGARTH DO (DOCTOR)
(478) 451-0040
Entity
Organization

Contact information

Practice address
1201 COLUMBIA DR, MILLEDGEVILLE, GA 31061
(478) 451-0040
(478) 451-0044
Mailing address
1201 COLUMBIA DR, MILLEDGEVILLE, GA 31061
(478) 451-0040
(478) 451-0044

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
44553
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00771537B
GA
01
52583170
BCBS
01
GRP3630
GROUP
Enumeration date
12/17/2007
Last updated
01/29/2013
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