Mountain Lake Orthopedics

NPI #1366522856 in Cullman, Alabama

Provider Information

NPI Number: 1366522856
Entity Type: Organization
Organization Name: Mountain Lake Orthopedics
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Oct 17, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1912 CHEROKEE AVE SW
Address 2: SUITE 3200
City: Cullman
State: Alabama
ZIP Code: 35055-5595
Phone: (256) 736-5505

Authorized Official

Name: JOHN EUGENE SONGER, M.D.
Title: PRESIDENT
Phone: (256) 736-5505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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