Mountainside Orthopedics

NPI #1639293988 in Jasper, Georgia

Provider Information

NPI Number: 1639293988
Entity Type: Organization
Organization Name: Mountainside Orthopedics
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Mar 19, 2007
Last Updated: Jan 8, 2009

Practice Location

Address: 620 J L WHITE DR
Address 2: SUITE 100
City: Jasper
State: Georgia
ZIP Code: 30143-4896
Phone: (706) 692-6980

Authorized Official

Name: JENNIFER TARDIF
Title: CREDENTIALING MANAGER
Phone: (770) 801-2526

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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