Organization · Type 2 NPI

Effingham Orthopedic Practice LLC

Specialist · Rincon, GA

NPI number 1063953149 Active

Practice location

613 Towne Park Dr W, Suite 303-304
Rincon, GA 31326-5182

Call (912) 355-6615 Map

Fax (912) 351-0645

Mailing address

459 Highway 119 S
Springfield, GA 31329-3021

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

17 other providers at this address

NPI record

NPI: 1063953149
Entity type: Organization (Type 2)
Issued: Mar 9, 2017
Last updated: Mar 9, 2017
Status: Active
Subpart: Yes of Effingham Orthopedic Practice LLC

Other names

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Effingham Chatham Sports Medicine · doing business as

Authorized official

Francine Baker-Witt
CEO & Nursing Home Administrator
(912) 754-0142

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063953149

Effingham Orthopedic Practice LLC's National Provider Identifier is 1063953149, issued on Mar 9, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Rincon, GA. The record was last updated on Mar 9, 2017.