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NPI Code Detail

MEDICARE: MOUNTAIN MEDICAL SPECILITIES INC

MEDICARE: MOUNTAIN MEDICAL SPECILITIES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841527819
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOUNTAIN MEDICAL SPECILITIES INC
Provider Business Mailing Address
First Line : 156 N MAIN ST
Second Line :
City : CLAYTON
State : GA
Zip : 30525-4266
Country : US
Telephone Number : 706-782-4799
Fax Number : 706-782-0922
Provider Business Practice Location Address
First Line : 156 N MAIN ST
Second Line :
City : CLAYTON
State : GA
Zip : 30525-4266
Country : US
Telephone Number : 706-782-4799
Fax Number : 706-782-0922
Authorized Official
Title or Position : MD DIRECTOR
Name : DR. ARTHUR B FLICK
Credential : MD
Telephone Number : 706-782-4799
Provider Enumeration Date : 11/11/2009
Last Update Date : 05/23/2024

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Directions to “MOUNTAIN MEDICAL SPECILITIES INC ” Practice Location

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