Southern Orthopedic & Sports Medicine Assoc PC

NPI #1770921819 in Jasper, Alabama

Provider Information

NPI Number: 1770921819
Entity Type: Organization
Organization Name: Southern Orthopedic & Sports Medicine Assoc PC
Primary Specialty: Specialist
Enumeration Date: Jun 11, 2013
Last Updated: Jun 11, 2013

Practice Location

Address: 20 MEDICAL CENTER DR
Address 2: SUITE 300
City: Jasper
State: Alabama
ZIP Code: 35501-3425
Phone: (205) 221-1114

Authorized Official

Name: MRS. SHERRIE T PIKE
Title: BUSINESS MANAGER
Phone: (205) 221-5374

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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