Organization Name: | SOUTHERN ORTHOPEDIC & SPORTS MEDICINE ASSOC P C |
NPI Number: | 1184647323 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHERRIE T. PIKE (BUSINESS MANAGER) |
Mailing Address: | 2950 Highway 78 E Jasper |
State: | AL US |
Postal Code: | 355018903 |
Phone Number: | 2052215374 |
Fax Number: | 2053841453 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 07/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |