Organization · Type 2 NPI

Providence Orthopedics & Sports Medicine, PC

Adult Reconstructive Orthopaedic Surgery Physician · Monroe, GA

NPI number 1881895035 Active

Practice location

1401 W Spring St, Suite 200
Monroe, GA 30655-1760

Fax (770) 207-7842

Specialties and licenses

TaxonomyCodeLicense
Adult Reconstructive Orthopaedic Surgery Physician Primary 207XS0114X055950 (GA)

Adult Reconstructive Orthopaedic Surgery Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

About NPI 1881895035

Providence Orthopedics & Sports Medicine, PC's National Provider Identifier is 1881895035, issued on May 29, 2007. The primary taxonomy on file is Adult Reconstructive Orthopaedic Surgery Physician (207XS0114X), and the practice location is in Monroe, GA. The record was last updated on Dec 30, 2009.