Mountainside Orthopedics

NPI #1831270586 in Jasper, Georgia

Provider Information

NPI Number: 1831270586
Entity Type: Organization
Organization Name: Mountainside Orthopedics
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Oct 18, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 620 J L WHITE DR STE 100
City: Jasper
State: Georgia
ZIP Code: 30143-4897
Phone: (706) 692-6980

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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