Healthcare Provider Details

I. General information

NPI: 1659284792
Provider Name (Legal Business Name): BONE AND JOINT INSTITUTE OF SOUTH GEORGIA, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

948 S MAIN ST
BAXLEY GA
31513-0138
US

IV. Provider business mailing address

PO BOX 1334
JESUP GA
31598-1334
US

V. Phone/Fax

Practice location:
  • Phone: 912-427-0800
  • Fax: 912-427-6029
Mailing address:
  • Phone: 912-427-0800
  • Fax: 912-427-6029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: AMANDA DOWDY
Title or Position: ADMINISTRATOR
Credential:
Phone: 912-427-0800