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General NPI Number Information
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NPI Number | 1902822505
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Entity Type | Organization
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Legal Business Name | SUTTON ORTHOPAEDICS & SPORTS MEDICINE PC
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 12/20/2007
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Provider Practice Location Address
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Address Line | 145 MEDICAL BLVD
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-5083
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Country | US
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Telephone | 770-389-8386
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Fax | 770-507-9576
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Provider Business Mailing Address
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Address Line | 145 MEDICAL BLVD
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-5083
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Country | US
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Telephone | 770-389-8386
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Fax | 770-507-9576
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Authorized Official
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Title or Position | PRESIDENT/ORTHOPAEDIC SURGEON
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Name | DR. JOSEPH CARL SUTTON
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Credential | M.D.
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Telephone | 770-389-8386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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