Providence Orthopedics & Sports Medicine, PC

NPI #1881895035 in Monroe, Georgia

Provider Information

NPI Number: 1881895035
Entity Type: Organization
Organization Name: Providence Orthopedics & Sports Medicine, PC
Primary Specialty: Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery
Enumeration Date: May 29, 2007
Last Updated: Dec 30, 2009

Practice Location

Address: 1401 W SPRING ST
Address 2: SUITE 200
City: Monroe
State: Georgia
ZIP Code: 30655-1760
Phone: (770) 267-0978

Authorized Official

Name: DR. DAVID C HARKINS I, D.O.
Title: PRESIDENT
Phone: (770) 267-0978

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery — Adult Reconstructive Orthopaedic Surgery	207XS0114X	Primary

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