MEDICARE: ORTHOPEDIC CENTER PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician		GA

General Provider Information

NPI Number	:	1053445700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPEDIC CENTER PC

Provider Business Mailing Address
First Line	:	11706 MERCY BLVD
Second Line	:	PLAZA A BLDG 8
City	:	SAVANNAH
State	:	GA
Zip	:	31419-1751
Country	:	US
Telephone Number	:	912-920-6244
Fax Number	:

Provider Business Practice Location Address
First Line	:	11706 MERCY BLVD
Second Line	:	PLAZA A BLDG 8
City	:	SAVANNAH
State	:	GA
Zip	:	31419-1751
Country	:	US
Telephone Number	:	912-920-6244
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MICHAEL KLEINPETER
Credential	:
Telephone Number	:	912-644-5372

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	08/22/2020

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Directions to “ORTHOPEDIC CENTER PC ” Practice Location

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