Healthcare Provider Details

I. General information

NPI: 1871655167
Provider Name (Legal Business Name): ASSOCIATES IN ORTHOPEDICS & SPORTS MEDICINE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 01/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1104 PROFESSIONAL BLVD
DALTON GA
30720-2588
US

IV. Provider business mailing address

1104 PROFESSIONAL BLVD
DALTON GA
30720-2588
US

V. Phone/Fax

Practice location:
  • Phone: 706-226-5533
  • Fax: 706-428-0033
Mailing address:
  • Phone: 706-226-5533
  • Fax: 706-428-0033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0427700001
License Number StateGA

VIII. Authorized Official

Name: DR. JAMES MITCHELL FRIX
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 706-226-5533