Effingham Orthopedic Practice LLC

NPI #1063953149 in Rincon, Georgia

Provider Information

NPI Number: 1063953149
Entity Type: Organization
Organization Name: Effingham Orthopedic Practice LLC
Subpart: Yes (part of a larger organization)
Parent Organization: EFFINGHAM ORTHOPEDIC PRACTICE LLC
Primary Specialty: Specialist
Enumeration Date: Mar 9, 2017
Last Updated: Mar 9, 2017

Practice Location

Address: 613 TOWNE PARK DR W
Address 2: SUITE 303-304
City: Rincon
State: Georgia
ZIP Code: 31326-5182
Phone: (912) 355-6615

Authorized Official

Name: FRANCINE BAKER-WITT
Title: CEO & NURSING HOME ADMINISTRATOR
Phone: (912) 754-0142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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