Healthcare Provider Details

I. General information

NPI: 1457360331
Provider Name (Legal Business Name): NORTHVIEW ORTHOPAEDIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 03/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 ANSLEY DR
DAHLONEGA GA
30533-1613
US

IV. Provider business mailing address

70 ANSLEY DR
DAHLONEGA GA
30533-1613
US

V. Phone/Fax

Practice location:
  • Phone: 706-864-7904
  • Fax: 706-894-0432
Mailing address:
  • Phone: 706-864-7904
  • Fax: 706-894-0432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GERALD ALAN BINKLEY
Title or Position: OWNER
Credential: M.D.
Phone: 706-864-7904