Southern Orthopedic Associates, S.c.

NPI #1225021819 in Paducah, Kentucky

Provider Information

NPI Number: 1225021819
Entity Type: Organization
Organization Name: Southern Orthopedic Associates, S.c.
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Aug 29, 2005
Last Updated: Jan 10, 2011

Practice Location

Address: 3530 LONE OAK RD
Address 2: STE A
City: Paducah
State: Kentucky
ZIP Code: 42003-5752
Phone: (270) 554-0505

Authorized Official

Name: DR. THOMAS W DAVIS, M.D.
Title: PRESIDENT
Phone: (618) 997-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Orthopaedic Surgery	207X00000X	Primary

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