Organization · Type 2 NPI

South Gaorthopedic Resources

Customized Equipment (DME) · Hiram, GA

NPI number 1699945154 Active

Practice location

127 Enterprise Path, Ste 403
Hiram, GA 30141-2697

Fax (678) 384-1922

Mailing address

1825 Old Ocilla Rd
Tifton, GA 31794-1617

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) Primary 332BC3200XNone listed

Customized Equipment (DME): Definition to come...

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About NPI 1699945154

South Gaorthopedic Resources's National Provider Identifier is 1699945154, issued on Mar 11, 2008. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Hiram, GA. The record was last updated on Jul 27, 2011.