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Contact Information

SOUTHEASTERN ORTHOPEDICS
110 SHIRLEY AVENUE
DOUGLAS, GA31533
 Phone: 912-383-9789
 Fax: 912-383-9435
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SOUTHEASTERN ORTHOPEDICS

NPI # 1184053043
LBN Legal business name SOUTHEASTERN ORTHOPEDICS
Authorized official JAMES BARBER - (ORTHOPAEDIC SURGEON)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2013
Last updated 11/01/2013 - About 13 years ago
Identifiers
GA License # 045391
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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