Southern Center for Orthopedics

NPI #1073654489 in Lagrange, Georgia

Provider Information

NPI Number: 1073654489
Entity Type: Organization
Organization Name: Southern Center for Orthopedics
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Feb 9, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1805 VERNON RD
Address 2: SUITE B
City: Lagrange
State: Georgia
ZIP Code: 30240-4041
Phone: (706) 884-2691

Authorized Official

Name: MS. GLORIA W KELLEY
Title: EXECUTIVE SECRETARY
Phone: (706) 884-2691

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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