Organization · Type 2 NPI

Southern Orthopedic Associates, S.c.

Orthopaedic Surgery Physician · Carrondale, IL

NPI number 1104075126 Active

Practice location

1101 Diann Lane
Carrondale, IL 62901

Fax (618) 457-0211

Mailing address

510 Lincoln Drive
Herrin, IL 62948

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician Primary 207X00000X042617215 (IL)

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

About NPI 1104075126

Southern Orthopedic Associates, S.c.'s National Provider Identifier is 1104075126, issued on Sep 15, 2008. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Carrondale, IL. The record was last updated on Sep 15, 2008.