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General NPI Number Information
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NPI Number | 1114830353
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Entity Type | Organization
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Legal Business Name | BONE AND JOINT INSTITUTE OF SOUTH GEORGIA, P.C.
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 475 S MAIN ST
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City | HINESVILLE
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State | GA
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Zip | 31313-4312
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Country | US
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Telephone | 912-427-0800
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Fax | 912-427-6029
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Provider Business Mailing Address
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Address Line | PO BOX 1334
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City | JESUP
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State | GA
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Zip | 31598-1334
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Country | US
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Telephone | 912-427-0800
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Fax | 912-427-6029
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | AMANDA DOWDY
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Credential |
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Telephone | 912-427-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State | NULL
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