Southlake Orthopaedics Sports Medicine and Spine Center, PC

NPI #1780281741 in Hoover, Alabama

Provider Information

NPI Number: 1780281741
Entity Type: Organization
Organization Name: Southlake Orthopaedics Sports Medicine and Spine Center, PC
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTHLAKE ORTHOPAEDICS SPORTS MEDICINE AND SPINE CENTER, PC
Primary Specialty: Prosthetic/Orthotic Supplier
Enumeration Date: Oct 2, 2020
Last Updated: Feb 10, 2022

Practice Location

Address: 4524 SOUTHLAKE PKWY STE 26
City: Hoover
State: Alabama
ZIP Code: 35244-3272
Phone: (205) 985-4111

Authorized Official

Name: MR. ROBERT CRABTREE
Title: ADMINISTRATOR
Phone: (205) 985-4111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Prosthetic/Orthotic Supplier	335E00000X	Primary

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